Active NPI
Wesley Blizzard, RPH
- Pharmacist
- Palm Desert, CA
National Provider Identifier
1023318250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27728
- Practice address
- 78210 Varner Rd
Palm Desert, CA 92211-4134 - Phone
- (760) 772-2764
- Fax
- (760) 772-2783
- NPI assigned
- Oct 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27728 | CA | Primary |
Addresses
Primary practice location
78210 Varner Rd
Palm Desert, CA 92211-4134
Mailing address
78210 Varner Rd
Palm Desert, CA 92211-4134
Phone (760) 772-2764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27728 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1023318250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78210 VARNER RD",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922114134",
"telephone_number": "760-772-2764",
"fax_number": "760-772-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78210 VARNER RD",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922114134",
"telephone_number": "760-772-2764",
"fax_number": "760-772-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIZZARD",
"first_name": "WESLEY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "27728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.