Fullerton Pharmacy, Inc.
NPI 1952917528ActiveOrganization· Pharmacy· Corona, CA
Pharmacy in Corona, California, registered in NPPES in September 2020. The authorized official on file is Sirisha Palavalli, Ceo/Cfo/Sec./Dir. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1952917528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2020 |
| Last updated in NPPES | Feb 15, 2024 |
| Certified by provider | Sep 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (CA) |
|---|
Other Pharmacy providers in Corona
- 1407163736
- 1952359150
- 1972598431
- 1578199741
- 1558383158
- 1760426019
- 1952553844
- 1033949557
- 1518399831
- 1255447108
- 1982471728
- 1609883602