MEDICARE: ZENITHRX PHARMACY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1457222143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENITHRX PHARMACY, INC.

Provider Business Mailing Address
First Line	:	31571 CANYON ESTATES DR STE 118
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:	951-245-4488
Fax Number	:	951-245-4466

Provider Business Practice Location Address
First Line	:	31571 CANYON ESTATES DR STE 118
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:	951-245-4488
Fax Number	:	951-245-4466

Authorized Official
Title or Position	:	CEO
Name	:	DR. DAVID QUOCDAI NGUYEN
Credential	:	RPH
Telephone Number	:	714-386-8091

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	01/15/2026

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