Provider Demographics
NPI:1356867345
Name:COVINA HEALTHCARE INC
Entity Type:Organization
Organization Name:COVINA HEALTHCARE INC
Other - Org Name:RITE CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NILESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTADIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-587-0400
Mailing Address - Street 1:1433 N HOLLENBECK AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-1558
Mailing Address - Country:US
Mailing Address - Phone:626-251-1640
Mailing Address - Fax:626-251-1641
Practice Address - Street 1:1433 N HOLLENBECK AVE STE 103
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-1558
Practice Address - Country:US
Practice Address - Phone:626-251-1640
Practice Address - Fax:626-251-1641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5664190OtherNCPDP
CA57340OtherBOARD OF PHARMACY LICENSE NUMBER