MEDICARE: ONE CARE PHARMACY LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY35813	CA
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2000457	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659483584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE CARE PHARMACY LLC

Provider Business Mailing Address
First Line	:	2025 CHICAGO AVE
Second Line	:	UNIT A-03
City	:	RIVERSIDE
State	:	CA
Zip	:	92507
Country	:	US
Telephone Number	:	951-900-1120
Fax Number	:	951-900-1125

Provider Business Practice Location Address
First Line	:	2025 CHICAGO AVE
Second Line	:	UNIT A-03
City	:	RIVERSIDE
State	:	CA
Zip	:	92507
Country	:	US
Telephone Number	:	951-900-1120
Fax Number	:	951-900-1125

Authorized Official
Title or Position	:	LLC MANAGING MEMBER
Name	:	MOHANNAD RASHID
Credential	:	RPH
Telephone Number	:	505-906-3002

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/20/2025

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Directions to “ONE CARE PHARMACY LLC ” Practice Location

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