Marko Fam

Primary specialty

PharmacistTaxonomy code 183500000X

License

72166 Issued in CA

Practice address

13313 Palm Dr Ste a
Desert Hot Springs, CA 92240-5980

Phone

(909) 545-7163

Fax

(760) 251-1200

NPI assigned

Oct 1, 2021

Last updated

Oct 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hot Springs Pharmacy Inc

  dba Hot Springs Pharmacy

  • Community/Retail Pharmacy
  • Desert Hot Springs, CA
  • NPI 1720449267
  NPD Authorized official

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1285306837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 PALM DR STE A",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405980",
            "telephone_number": "909-545-7163",
            "fax_number": "760-251-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 PALM DR STE A",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405980",
            "telephone_number": "909-545-7163",
            "fax_number": "760-251-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAM",
        "first_name": "MARKO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720449267",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@hotspringspharmacydhs.com",
            "affiliation": "N",
            "address_1": "13313 Palm Dr Ste A",
            "city": "Desert Hot Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922405980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alphonso Raymond Edgecombe, DDS
• Howard Joseph Ennaco
• Adolfo Espino, LVN
• Grecy Jennifer Espinoza, PPSC
• Ashley Everett, LVN
• Father's Heart- a Ranch for Children Inc
• Jamie Fatz
• Kianna Lannette Flenor
• Christina Flores, SUDCC II
• Lyle Beverly Forehand Jr., M.D.

• Pharmacist in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.