KIRTI Z SHAH INC (NPI# 1073524609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073524609 |
| Entity Type | Organization |
| Organization Name | KIRTI Z SHAH INC |
| Other Organization Name | DESERT MEDICAL PHARMACY |
| Practice Address |
1600 S Imperial Ave Ste 12 El Centro CA 92243-4242 |
| Practice Telephone | 7603535130 |
| Practice Fax Number | 7603534556 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | KIRTI SHAH (OWNER) |
| Authorized Official Telephone | 7603535130 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY30417 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | CA | Suppliers | |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0531651 | 01 | |
| CA | PHA304170 | 05 |
| Other Name | Type Code |
|---|---|
| DESERT MEDICAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922441682 | Kirti Z Shah Inc | Durable Medical Equipment & Medical Supplies | 401 W Main St, El Centro, CA 92243-3006 | 2013-04-12 |
| Street Address |
1600 S IMPERIAL AVE STE 12 |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760479786 | Mohammed M Al-jasim | Internal Medicine | 1600 S Imperial Ave, Suite #8, El Centro, CA 92243-4242 | 2005-10-04 |
| 1982176947 | Abraham Alejandro Vandiver | Registered Nurse | 1600 S Imperial Ave, El Centro, CA 92243-4242 | 2018-12-31 |
| 1235580440 | Leah Romero Manix | Counselor | 1600 S Imperial Ave, El Centro, CA 92243-4242 | 2016-06-29 |
| 1245697531 | Shlok Narayan Prasad | Pharmacist | 1600 S Imperial Ave, Ste #12, El Centro, CA 92243-4242 | 2016-01-18 |
| 1598139883 | Valley Pediatric Health | Pediatrics | 1600 S Imperial Ave, 10, El Centro, CA 92243-4242 | 2015-11-24 |
| 1801267083 | Jessica Chaparro Ruiz | Nurse Practitioner | 1600 S Imperial Ave, Suite 3, El Centro, CA 92243-4242 | 2015-10-13 |
| 1518398668 | Drupad Parikh | Pharmacist | 1600 S Imperial Ave, El Centro, CA 92243-4242 | 2013-11-27 |
| 1841577376 | Mohammed Al-jasim Md A Medical Corporation | Internal Medicine | 1600 S Imperial Ave, 8, El Centro, CA 92243-4242 | 2011-11-11 |
| 1770714396 | Kenneth B. Rehm, D.p.m. | Durable Medical Equipment & Medical Supplies | 1600 S Imperial Ave, Suite 3, El Centro, CA 92243-4242 | 2009-07-30 |
| 1730350596 | Albert A Williams Jr | Prosthetist | 1600 S Imperial Ave, Suite 15, El Centro, CA 92243-4242 | 2008-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700181153 | Ocotillo Pharmacy | Pharmacy | 1745 S Imperial Ave Ste 112, El Centro, CA 92243-4243 | 2011-01-17 |
| 1871631861 | Reliance Imperial Pharmacy LLC | Pharmacy | 1692 S 4th St, # F, El Centro, CA 92243-4747 | 2007-02-02 |
| 1497784441 | Vons Companies Inc | Pharmacy | 750 N Imperial Ave, El Centro, CA 92243-1914 | 2006-07-02 |
| 1326065731 | Walmart Inc. | Pharmacy | 2150 N Waterman Ave, El Centro, CA 92243-1605 | 2006-07-16 |
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| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.