Desert Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55856 Issued in CA

Legal business name

DESERT PHARMACY

Practice address

1560 S Imperial Ave
El Centro, CA 92243-4241

Phone

(760) 997-7800

Fax

(760) 997-7801

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John Paul Teague, PHARM.D.NPI 1578078473

Title

Ceo/President

Phone

(760) 997-7800

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• John Paul Teague

  • Pharmacist
  • El Centro, CA
  • NPI 1578078473
  NPD Authorized official
• Jessica Rodriguez, PHARMD

  • Pharmacist
  • El Centro, CA
  • NPI 1699134155
  NPD
• Liz Beth Reyes

  • Pharmacist
  • El Centro, CA
  • NPI 1710813589
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1053826792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-997-7800",
            "fax_number": "760-997-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-997-7800",
            "fax_number": "760-997-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "760-997-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE CALIFORNIA BOARD OF PHARMACY",
            "identifier": "57741",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY2154641",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5665027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Behavioral Specialties, LLC
• Desert Care Clinic Apc
• Desert Eye Institute Medical Group, Inc.
• Desert Family Dentistry
• Desert Mobility Equipment LLC
• Rhonda Vedder Dessert, NURSE PRACITITIONER
• Akashdeep Kaur Dhaliwal, D.O.
• Danielle Dhillon
• Russell Dial, P.T.
• Leonardo Diaz-Ramirez

• Community/Retail Pharmacy in El Centro, CA
• Providers in El Centro, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.