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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

NPI1952917528
StatusActive
Entity typeOrganization
NPI issuedSep 19, 2020
Last updated in NPPESFeb 15, 2024
Certified by providerSep 19, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Pharmacy (CA)

Medicare sources and data years

Other Pharmacy providers in Corona

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