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Petra Pharmacy Corp

Community/Retail Pharmacy in San Jacinto, CA · enumerated 2006 · authorized official Linda Rabadi, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104901131

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Registry record

Entity type Organization (Type 2)
Legal business name Petra Pharmacy Corp
Other name <Unavail>
Practice address 1477 S San Jacinto Ave, San Jacinto, CA, 92583
Phone (951) 927-5710
Fax (951) 927-9834
Enumeration date Oct 26, 2006
Last updated in NPPES Mar 23, 2026

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHY54602 (CA) Primary
3336H0001X Home Infusion Therapy Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Linda Rabadi
Title Cfo
Phone (951) 654-2791

Other identifiers

Identifier Type State Issuer
0574271 Other CA NCPDP #
1104901131 Other CA NPI
PHY54602 Other CA PHARMACY PERMIT
PHA546020 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-23. Verify at npiregistry.cms.hhs.gov.
Where is Petra Pharmacy Corp located?
The practice location on file with NPPES is in San Jacinto, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-23.