Active NPI
Mirette Atteya
- Pharmacist
- Palm Desert, CA
National Provider Identifier
1053845487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74181
- Practice address
- 72314 Highway 111
Palm Desert, CA 92260-2747 - Phone
- (760) 469-3428
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 74181 | CA | Primary |
Addresses
Primary practice location
72314 Highway 111
Palm Desert, CA 92260-2747
Mailing address
3077 N Juneberry St
Orange, CA 92865-5001
Phone (714) 749-5786
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74181 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1053845487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3077 N JUNEBERRY ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928655001",
"telephone_number": "714-749-5786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72314 HIGHWAY 111",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602747",
"telephone_number": "760-469-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTEYA",
"first_name": "MIRETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74181",
"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 Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.