Green Valley Pharmacy LLC
Green Valley Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Yucaipa, CA, holding Type 2 (organization) NPI 1699122002 since 2016. The authorized official on file is Sylvia Moc, Owner/Cfo/Ao.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699122002 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Green Valley Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 33733 YUCAIPA BLVD STE 1, Yucaipa, CA, 92399 |
| Phone | 9099800999 |
| Fax | 9099801099 |
| Enumeration date | 2016-05-17 |
| Last updated in NPPES | 2022-04-12 |
Authorized official
| Name | Sylvia Moc |
|---|---|
| Title | Owner/Cfo/Ao |
| Phone | 9099800999 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | 54475 | CA |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699122002 | Medicaid | CA | — |
Copy-ready billing details
Provider: Green Valley Pharmacy LLC NPI: 1699122002 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 33733 YUCAIPA BLVD STE 1, Yucaipa, CA, 92399
Verify this record
Cross-check NPI 1699122002 against the authoritative CMS record: view Green Valley Pharmacy LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Green Valley Pharmacy LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-12.