PACIFIC PHARMACY SERVICE INC (NPI# 1528312170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528312170 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHARMACY SERVICE INC |
| Other Organization Name | PALM SPRINGS PHARMACY |
| Practice Address |
611 S Palm Canyon Dr Ste 12 Palm Springs CA 92264-7453 |
| Mailing Address |
611 S Palm Canyon Dr Suite 12 Palm Springs CA 92264-7213 |
| Practice Telephone | 7603274881 |
| Practice Fax Number | 7603221807 |
| Mailing Telephone | 7603274881 |
| Mailing Fax Number | 7603221807 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | SUNG PARK (PRESIDENT/PIC) |
| Authorized Official Telephone | 7603274881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50939 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5645669 | 01 |
| Other Name | Type Code |
|---|---|
| Palm Springs Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730385949 | Pacific Pharmacy Service Inc | Pharmacy | 174 S Sunrise Way, Palm Springs, CA 92262-6737 | 2007-06-25 |
| Street Address |
611 S PALM CANYON DR STE 12 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92264-7453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1538727466 | Sina Khanbabakhani | Dentist | 555 South Sunrise Way, Palm Springs, CA 92264 | 2019-06-05 |
| 1265971162 | Mark Jordan Agresor | Assisted Living Facility | 4425 Camino Parocela, Palm Springs, CA 92264 | 2017-02-13 |
| 1609329002 | Jeffrey Idica | Naturopath | 1775 E Palm Canyon Dr Ste 310, Palm Springs, CA 92264 | 2016-08-02 |
| 1609240605 | Brandon Hagar | Technician, Other | 3025 E Escoba Dr Apt 236, Palm Springs, CA 92264 | 2015-11-14 |
| 1861618852 | Jin Woo | Acupuncturist | 1001 S Palm Canyon Dr, Suite 105, Palm Springs, CA 92264 | 2007-04-18 |
| 1629114269 | Andrew Petras | Optometrist | 148 Eastlake Dr, Palm Springs, CA 92264 | 2007-01-30 |
| 1952453375 | Gina D Davis | Chiropractor | 4050 Airport Center Drive, Suite G, Palm Springs, CA 92264 | 2007-01-17 |
| 1548328834 | Michael R Gurk Ms Pt Apc | Physical Therapist | 1001 S Palm Canyon Drive, Ste 111, Palm Springs, CA 92264 | 2006-12-05 |
| 1750399747 | Lee Un A Professional Dental Corp | Dentist | 471 E Tahquitz Cyn Way #221, Palm Springs, CA 92264 | 2006-08-04 |
| Find all providers in zip 92264 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | 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 health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730385949 | Pacific Pharmacy Service Inc | Pharmacy | 174 S Sunrise Way, Palm Springs, CA 92262-6737 | 2007-06-25 |
| 1760586747 | Holiday Cvs LLC | Pharmacy | 3187 S Congress Ave, Palm Springs, FL 33461-2551 | 2006-09-12 |
| 1861504854 | El Mirador Medical Plaza Pharmacy Inc | Pharmacy | 1180 N Indian Canyon Dr Ste E140, Suite E140, Palm Springs, CA 92262-4883 | 2006-08-31 |
| 1346257326 | Walgreen Co | Pharmacy | 3184 S Congress Ave, Palm Springs, FL 33461-2552 | 2006-08-02 |
| 1336184134 | Garfield Beach Cvs LLC | Pharmacy | 425 S Sunrise Way, Palm Springs, CA 92262-7663 | 2006-06-17 |
| 1366831836 | Mar Rx Inc | Pharmacy | 3491 S Congress Ave, Bay 6, Palm Springs, FL 33461-3021 | 2015-01-21 |
| 1336430867 | Lasr Enterprises Inc | Pharmacy | 1717 E Vista Chino Ste B2, Palm Springs, CA 92262 | 2011-05-02 |
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|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92264 |
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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.