Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VITSHANTA INC
Active
Organization
VITSHANTA INC
Active
Other names
Sierra Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRADEEP AMIN (RPH)
(909) 475-4250
Entity
Organization
Contact information
Practice address
4108 N SIERRA WAY, SAN BERNARDINO, CA 92407-3825
(909) 475-4250
(909) 882-4000
Mailing address
4108 N SIERRA WAY, SAN BERNARDINO, CA 92407-3825
(909) 475-4250
(909) 882-4000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5633246
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/13/2009
Last updated
03/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up