Organization · Type 2 NPI

Loma Linda University Medical Center

Community/Retail Pharmacy · San Bernardino, CA

NPI number 1124480017 Active

Practice location

125 E Club Center Dr Ste 1500
San Bernardino, CA 92408-4107

Fax (909) 651-4703

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	54334 (CA)

Community/Retail Pharmacy: 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 …

Another provider at this address

Seventh-Day Adventists Loma Linda University Medical CenterSpecialty Pharmacy San Bernardino, CA NPI 1841947975

Other community/retail pharmacy providers in San Bernardino

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NPI record

NPI: 1124480017
Entity type: Organization (Type 2)
Issued: Mar 22, 2016
Last updated: Jun 11, 2026
Status: Active

Other names

<unavail>
Loma Linda University Home Delivery Pharmacy · doing business as
Loma Linda University Home Delivery Pharmacy · doing business as

Authorized official

Anthony Alan Hilliard
CEO
(909) 558-5188

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124480017

Loma Linda University Medical Center's National Provider Identifier is 1124480017, issued on Mar 22, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 11, 2026.