St Johns Pharmacy Corp
St Johns Pharmacy Corp is a healthcare organization registered as Community/Retail Pharmacy in Riverside, CA, holding Type 2 (organization) NPI 1962428821 since 2006. The authorized official on file is Rebecca Kim, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962428821 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | St Johns Pharmacy Corp |
| Other name | <Unavail> |
| Practice address | 10181 HOLE AVE, Riverside, CA, 92503 |
| Phone | 9517856464 |
| Fax | 9516877660 |
| Enumeration date | 2006-07-14 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Rebecca Kim |
|---|---|
| Title | President |
| Phone | 9512179705 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | PHY47457 | CA |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5618066 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| PHA474570 | Medicaid | CA | — |
Copy-ready billing details
Provider: St Johns Pharmacy Corp NPI: 1962428821 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 10181 HOLE AVE, Riverside, CA, 92503
Verify this record
Cross-check NPI 1962428821 against the authoritative CMS record: view St Johns Pharmacy Corp 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
How current is this record?
Where is St Johns Pharmacy Corp located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-09-11.