Provider Demographics
NPI:1912397936
Name:SPRX, INC.
Entity Type:Organization
Organization Name:SPRX, INC.
Other - Org Name:HINAS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SVIHOVEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-599-2731
Mailing Address - Street 1:9508 STOCKDALE HWY
Mailing Address - Street 2:#130
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6300 WHITE LN
Practice Address - Street 2:SUITE N
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-8763
Practice Address - Country:US
Practice Address - Phone:661-282-8805
Practice Address - Fax:661-473-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1912397936Medicaid
5653957OtherNCPDP
CA53343OtherBOARD OF PHARMACY
5653957OtherNCPDP