Petra Pharmacy Corp
Community/Retail Pharmacy
1477 S San Jacinto Ave, San Jacinto
California, 92583-5105
951-927-5710 951-927-9834
Petra Pharmacy Corp is a Community/Retail Pharmacy in San Jacinto, California. It is located at 1477 S San Jacinto Ave, San Jacinto and it's customer support contact number is 951-927-5710. The authorized person of Petra Pharmacy Corp is Ms. Linda Rabadi who is Cfo of the pharmacy and her contact number is 951-654-2791. Active license number of Petra Pharmacy Corp is PHY54602 for Community/Retail Pharmacy in California. Petra Pharmacy Corp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Petra Pharmacy Corp 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:
Petra Pharmacy Corp 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: | Petra Pharmacy Corp |
| Type: | Community/Retail Pharmacy |
| Location: | 1477 S San Jacinto Ave, San Jacinto,
California, 92583-5105 |
| Phone: | 951-927-5710 |
| Fax: | 951-927-9834 |
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: | Ms. Linda Rabadi |
| Position: | Cfo |
| Contact Number: | 951-654-2791 |
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: | 1104901131 |
| NPI Enumeration Date: | 26 Oct, 2006 |
| NPI Last Update On: | 28 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Petra Pharmacy Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY54602 | California | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Home Infusion Therapy 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 |
| 0574271 | Other | California | Ncpdp # |
| 1104901131 | Other | California | Npi |
| PHY54602 | Other | California | Pharmacy Permit |
| PHA546020 | Medicaid | California | |
Medicare Enrollment:
Petra Pharmacy Corp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7517175102 | O20141118002216 | Merick Pharmacy Corporation | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1477 S San Jacinto Ave,
San Jacinto, California |
| Zip: | 92583-5105 |
| Phone Number: | 951-927-5710 |
| Fax Number: | 951-927-9834 |
Patients can reach Petra Pharmacy Corp at
1477 S San Jacinto Ave, San Jacinto, California or can
call on customer care at 951-927-5710.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.