Provider Demographics
NPI:1508868084
Name:VIHA PHARMA INC
Entity Type:Organization
Organization Name:VIHA PHARMA INC
Other - Org Name:CBC CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KANERIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:909-865-2808
Mailing Address - Street 1:716 E MISSION BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-2040
Mailing Address - Country:US
Mailing Address - Phone:909-865-2808
Mailing Address - Fax:909-622-4297
Practice Address - Street 1:716 E MISSION BLVD
Practice Address - Street 2:STE B
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-2040
Practice Address - Country:US
Practice Address - Phone:909-865-2808
Practice Address - Fax:909-622-4297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0519061OtherNCPDP
CA1508868084Medicaid
CAPHA0519061Medicaid
CA1508868084Medicare UPIN
CA0519061OtherNABP