NPIMap

Organization Active NPI

Imperial Valley Pharmacy LLC

Doing business as Imperial Valley Pharmacy

  • Long Term Care Pharmacy
  • El Centro, CA
National Provider Identifier
1013715226
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
IMPERIAL VALLEY PHARMACY LLC
Doing business as
Imperial Valley Pharmacy
Practice address
1487 Ocotillo Dr
El Centro, CA 92243-4212
Phone
(760) 970-5800
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Prashant Koyani
Title
Owner
Phone
(760) 970-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1487 Ocotillo Dr
El Centro, CA 92243-4212

Mailing address

1487 Ocotillo Dr
El Centro, CA 92243-4212
Phone (760) 970-5800

Other names 1

  • IMPERIAL VALLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imperial Valley Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1487 Ocotillo Dr
El Centro, CA 92243
Phone (760) 970-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1013715226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 OCOTILLO DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434212",
            "telephone_number": "760-970-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 OCOTILLO DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434212",
            "telephone_number": "760-970-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "KOYANI",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-970-5800"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPERIAL VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.