Northeast Valley Health Corporation
Community/Retail Pharmacy
1600 San Fernando Rd, San Fernando
California, 91340-3115
818-365-5047 818-365-8095
Northeast Valley Health Corporation is not a DME supplier for medicare equipments and products.
Northeast Valley Health Corporation is a Community/Retail Pharmacy in San Fernando, California. It is located at 1600 San Fernando Rd, San Fernando and it's customer support contact number is 818-365-5047. The authorized person of Northeast Valley Health Corporation is Kimberly Wyard who is Ceo of the pharmacy and his contact number is 818-898-1388. Active license number of Northeast Valley Health Corporation is PHY17330 for Community/Retail Pharmacy in California.
Northeast Valley Health Corporation is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Northeast Valley Health Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Northeast Valley Health Corporation |
| Type: | Community/Retail Pharmacy |
| Location: | 1600 San Fernando Rd, San Fernando, California, 91340-3115 |
| Phone: | 818-365-5047 |
| Fax: | 818-365-8095 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kimberly Wyard |
| Position: | Ceo |
| Contact Number: | 818-898-1388 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1396893095 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 19 Jul, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeast Valley Health Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY17330 | California | Primary | |
| Pharmacy | | | Secondary | |
| Clinic Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2088136 | Other | | Pk |
| PHY17330 | Medicaid | California | |
| PHA17330 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1172 N Maclay, San Fernando, California |
| Zip: | 91340 |
| Phone Number: | 818-898-1388 |
| Fax Number: | 818-365-4031 |
Patients can reach Northeast Valley Health Corporation at
1600 San Fernando Rd, San Fernando, California or can
call on customer care at 818-365-5047.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.