Healthcare Provider Details

I. General information

NPI: 1114464922
Provider Name (Legal Business Name): RXNOVO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5886 MOWRY SCHOOL RD
NEWARK CA
94560-5367
US

IV. Provider business mailing address

5886 MOWRY SCHOOL RD
NEWARK CA
94560-5367
US

V. Phone/Fax

Practice location:
  • Phone: 510-573-0064
  • Fax: 510-573-0096
Mailing address:
  • Phone: 510-573-0064
  • Fax: 510-573-0096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number55435
License Number StateCA

VIII. Authorized Official

Name: MR. NAWEED MUHAMMAD
Title or Position: CEO
Credential: M.S. RPH/
Phone: 510-902-8080