Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imgrx Sj Valley, Inc

Organization Pharmacy · NPI 1871695130

Imgrx Sj Valley, Inc is a Pharmacy in Mendota, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 Barboza St Bldg 3
Mendota, CA 93640-1901
Phone: (559) 655-5000
Fax: (559) 655-9604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY 54517 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1871695130
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationImgrx Sj Valley, Inc
Authorized official Michael Brown — Vice President, Managed Services · (281) 749-4764
Other names United Health Centers Pharmacy Mendota; United Health Centers Pharmacy Mendota
NPI enumeratedSeptember 5, 2006
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 15, 2022
Mailing addressAttn: Chc Retail Pharmacy Dept. 13651 Dublin Ct, Stafford, TX 77477