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

Petra Pharmacy Corp

Organization Community/Retail Pharmacy · NPI 1104901131

Petra Pharmacy Corp is a Community/Retail Pharmacy in San Jacinto, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1477 S San Jacinto Ave
San Jacinto, CA 92583-5105
Phone: (951) 927-5710
Fax: (951) 927-9834
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 PHY54602 (CA)
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1104901131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Rabadi — Cfo · (951) 654-2791
Other names Enova Care Pharmacy; Medicine Shoppe
NPI enumeratedOctober 26, 2006
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address1477 S San Jacinto Ave, San Jacinto, CA 92583-5105

Other providers in San Jacinto