Ocotillo Pharmacy, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

45285 Issued in CA

Legal business name

OCOTILLO PHARMACY, INC.

Doing business as

Ocotillo Home Medical

Practice address

1501 Ocotillo Dr Ste B
El Centro, CA 92243-4217

Phone

(760) 352-7100

Fax

(760) 337-5979

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Gelman, RPH

Title

Owner/President

Phone

(760) 554-6940

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Ocotillo Home Medical Doing business as

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1023298049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2100",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922442100",
            "telephone_number": "760-352-7100",
            "fax_number": "760-337-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OCOTILLO DR STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434217",
            "telephone_number": "760-352-7100",
            "fax_number": "760-337-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "760-554-6940",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45285",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "45285",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "45285",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "45285",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0447810001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocotillo Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zulema Ocegueda
• Ariadna Julissa Oceguera
• Alejandra Ochoa
• Elida Lucero Ochoa
• Ocotillo Pharmacy
• Kaitlyn Elise Offhaus, RD
• Mariah Anna Ojeda I
• Richard Ojeda
• Florentino Olivas II
• Courtney Olson

• Oxygen Equipment & Supplies (DME) in El Centro, CA
• Providers in El Centro, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.