Active NPI
Blake O'Neill, PHARMD
- Pharmacist
- Palm Springs, CA
National Provider Identifier
1255754420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65338
- Practice address
- 425 S Sunrise Way Ste a
Palm Springs, CA 92262-7664 - Phone
- (760) 327-4381
- Fax
- (760) 327-4388
- NPI assigned
- Jan 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65338 | CA | Primary |
| Pharmacist | 183500000X | 21402 | NC |
Addresses
Primary practice location
425 S Sunrise Way Ste a
Palm Springs, CA 92262-7664
Mailing address
425 S Sunrise Way Ste a
Palm Springs, CA 92262-7664
Phone (760) 327-4381
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65338 | CA | MD | Pharmacist |
| 21402 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Palm Springs, CA
- NPI 1619992211
-
- Community/Retail Pharmacy
- Pacoima, CA
- NPI 1982772711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1255754420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S SUNRISE WAY STE A",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627664",
"telephone_number": "760-327-4381",
"fax_number": "760-327-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S SUNRISE WAY STE A",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627664",
"telephone_number": "760-327-4381",
"fax_number": "760-327-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65338",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.