EL MIRADOR MEDICAL PLAZA PHARMACY INC (NPI# 1861504854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861504854 |
| Entity Type | Organization |
| Organization Name | EL MIRADOR MEDICAL PLAZA PHARMACY INC |
| Other Organization Name | DESERT HOSPITAL OUTPATIENT PHARMACY |
| Practice Address |
1180 N Indian Canyon Dr Ste E140 Suite E140 Palm Springs CA 92262-4883 |
| Practice Telephone | 7603231001 |
| Practice Fax Number | 7603231144 |
| Mailing Telephone | 7603231001 |
| Mailing Fax Number | 7603231144 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | RAMESH UPADHYAYULA (PRESIDENT) |
| Authorized Official Telephone | 7603231001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY46465 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA464650 | 05 | |
| PK | 2067078 | 01 |
| Other Name | Type Code |
|---|---|
| DESERT HOSPITAL OUTPATIENT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018727 | El Mirador Medical Plaza Pharmacy Inc | Pharmacy | 1180 N Indian Canyon Dr Ste E140, Palm Springs, CA 92262-4883 | 2019-11-25 |
| 1780629998 | El Mirador Medical Plaza Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 307 Placentia Ave, Ste 102, Newport Beach, CA 92663-3310 | 2006-06-19 |
| Street Address |
1180 N INDIAN CANYON DR STE E140 SUITE E140 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316238 | Huy Nhat Pham | Pharmacist | 1180 N Indian Canyon Dr Ste E140, Palm Springs, CA 92262-4883 | 2020-04-27 |
| 1669018727 | El Mirador Medical Plaza Pharmacy Inc | Pharmacy | 1180 N Indian Canyon Dr Ste E140, Palm Springs, CA 92262-4883 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| 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 |
|---|---|---|---|---|
| 1225494412 | Sree Ganesha Inc | Pharmacy | 3707 Lake Worth Rd, Palm Springs, FL 33461-4033 | 2016-01-05 |
| 1508162017 | Vip Pharmacy of Lake Worth | Pharmacy | 3093 Lake Worth Rd, Palm Springs, FL 33461-3631 | 2011-01-31 |
| 1700933033 | Kaiser Foundation Health Plan Inc | Pharmacy | 1717 E Vista Chino Ste B2, Palm Springs, CA 92262-3569 | 2007-01-05 |
| 1982769303 | Kme Rx Inc | Pharmacy | 3491 S Congress Ave, Bay 6, Palm Springs, FL 33461-3021 | 2006-12-26 |
| 1841679065 | Kaiser Foundation Health Plan Inc | Pharmacy | 1100 N Palm Canyon Dr, Ste 204, Palm Springs, CA 92262-4414 | 2015-05-20 |
| 1619992211 | Ralphs Grocery Company | Pharmacy | 425 S Sunrise Way, Palm Springs, CA 92262-7663 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on EL MIRADOR MEDICAL PLAZA PHARMACY INC.
| 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.