Coachella Valley Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

COACHELLA VALLEY PHARMACY INC

Practice address

35900 Bob Hope Dr Ste 105
Rancho Mirage, CA 92270-1765

Phone

(760) 565-0629

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Peachy U Lua

Title

Owner

Phone

(760) 399-2828

Specialties & licenses 1

Addresses

Other names 1

• Coachella Valley LTC Doing business as

Tax ID family

Coachella Valley Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Coachella Valley Pharmacy, Inc

  • Long Term Care Pharmacy
  • Palm Desert, CA
  • NPI 1669344321
  NPD tax ID
• Coachella Valley Pharmacy, Inc

  • Community/Retail Pharmacy
  • Palm Desert, CA
  • NPI 1679026801
  NPD tax ID

Locations

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1043785983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR STE 105",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701765",
            "telephone_number": "760-565-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR STE 105",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701765",
            "telephone_number": "760-565-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "LUA",
        "authorized_official_first_name": "PEACHY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-399-2828"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coachella Valley LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coachella Valley LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifton Cole MD Inc
• Coachella Care Clinic
• Coachella Valley Direct Primary Care
• Coachella Valley Eye Institute PC
• Coachella Valley Pathology
• Coachella Valley Retina
• Coachella Valley Retina
• Coachellamed a Professional Corporation
• Eliane Fani Coffler
• Randy E Cohen, M.D.

• All providers in Rancho Mirage, CA
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.