Organization Active NPI

Nicole and Andre Pharmaceutical Inc.

Doing business as Imperial Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • El Centro, CA
National Provider Identifier
1194919464
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NICOLE AND ANDRE PHARMACEUTICAL INC.
Doing business as
Imperial Medical Supplies
Practice address
510 W Main St Ste 111
El Centro, CA 92243-2900
Phone
(562) 789-5852
Fax
(562) 789-5854
NPI assigned
Aug 30, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Odette P. Khalil, PHARM.D.NPI 1649272428
Title
Owner/Pharmacist
Phone
(562) 789-5852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

510 W Main St Ste 111
El Centro, CA 92243-2900

Mailing address

9209 Colima Rd Ste 1100
Whittier, CA 90605-1863
Phone (562) 789-5852

Other names 1

  • Imperial Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

9209 Colima Rd
Ste 1100
Whittier, CA 90605
Phone (562) 789-5852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1194919464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD STE 1100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051863",
            "telephone_number": "562-789-5852",
            "fax_number": "562-789-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W MAIN ST STE 111",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432900",
            "telephone_number": "562-789-5852",
            "fax_number": "562-789-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE AND ANDRE PHARMACEUTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "ODETTE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "562-789-5852",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.