Active NPI
Ocotillo Pharmacy
- Community/Retail Pharmacy
- Brawley, CA
National Provider Identifier
1194865634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY47473
- Legal business name
- OCOTILLO PHARMACY
- Doing business as
- PLANTERS DRUG CO
- Practice address
- 310 Main St
Brawley, CA 92227-2420 - Phone
- (760) 344-4100
- Fax
- (760) 344-9100
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Gelman, RPH
- Title
- PHRM
- Phone
- (760) 352-7100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY47473 | CA | Primary |
Addresses
Primary practice location
310 Main St
Brawley, CA 92227-2420
Mailing address
310 Main St
Brawley, CA 92227-2420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5625972 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 5625972 | Other | OTHER ID NUMBER |
Other names 1
- PLANTERS DRUG CO
National Provider Directory
National Provider Directory- Tax ID family
- Farmacia del Valle
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- El Centro, CA
- NPI 1700181153
Locations
310 Main St
Brawley, CA 92227
Phone (760) 344-4100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1194865634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272420",
"telephone_number": "760-344-4100",
"fax_number": "760-344-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCOTILLO PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "GELMAN",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PHRM",
"authorized_official_telephone_number": "760-352-7100",
"authorized_official_credential": "RPH"
},
"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": "PHY47473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5625972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "5625972",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PLANTERS DRUG CO",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.