Pathway Pharmaceuticals Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY45912 Issued in CA

Legal business name

PATHWAY PHARMACEUTICALS INC

Practice address

555 E Tachevah Dr Ste 1W101
Palm Springs, CA 92262-5772

Phone

(760) 416-0830

Fax

(760) 416-0832

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Adeyemi Omilana, RPHNPI 1770658635

Title

Pharmacist in Charge/Owner

Phone

(760) 416-0830

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• LAS PALMAS PHARMACY Doing business as

Locations

Practitioners 1

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

• Adeyemi Akintunde Omilana, RPH

  • Pharmacist
  • Palm Springs, CA
  • NPI 1770658635
  NPD (past) Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1063423697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 1W101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625772",
            "telephone_number": "760-416-0830",
            "fax_number": "760-416-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 1W101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625772",
            "telephone_number": "760-416-0830",
            "fax_number": "760-416-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "OMILANA",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "760-416-0830",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY45912",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAS PALMAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenna Patel
• Kirit Ramanbhai Patel, DDS
• Shenil Patel, PHARM.D.
• Shereen Patel, RPH
• Sujay Pathak
• Elia Paula, MFT
• Carissa Paw
• Oscar Joaquin Paz-Altschul, MD
• PCD Senior 1
• Pedram Navab DO Inc

• Pharmacy in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.