Organization Active NPI

La Quinta Pharmacy

  • Compounding Pharmacy
  • La Quinta, CA
National Provider Identifier
1083617740
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
LA QUINTA PHARMACY
Practice address
78150 Calle Tampico
Ste 103
La Quinta, CA 92253-2907
Phone
(760) 777-9902
Fax
(760) 777-9820
NPI assigned
May 24, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Marshall Hankin, RPH
Title
Owner and Pharmacist
Phone
(760) 777-9902

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 46507 CA
Community/Retail Pharmacy 3336C0003X NU
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

78150 Calle Tampico
Ste 103
La Quinta, CA 92253-2907

Mailing address

78150 Calle Tampico
Ste 103
La Quinta, CA 92253-2907

Other identifiers 1

IdentifierTypeStateIssuer
5600918OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083617740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78150 CALLE TAMPICO",
            "address_2": "STE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78150 CALLE TAMPICO",
            "address_2": "STE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532907",
            "telephone_number": "760-777-9902",
            "fax_number": "760-777-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA QUINTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HANKIN",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "760-777-9902",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "46507",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5600918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.