Individual provider Active NPI

Jay L Astor, PHARM.D.

  • Pharmacist
  • Palm Desert, CA
National Provider Identifier
1306353461
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27239 Issued in CA
Practice address
34500 Monterey Ave
Walmart Store 5096 Attn: Pharmacy
Palm Desert, CA 92211-2089
Phone
(760) 328-3168
Fax
(760) 328-5168
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27239 CA Primary

Addresses

Primary practice location

34500 Monterey Ave
Walmart Store 5096 Attn: Pharmacy
Palm Desert, CA 92211-2089

Mailing address

34500 Monterey Ave
Walmart Store 5096 Attn: Pharmacy
Palm Desert, CA 92211-2089
Phone (760) 328-3168

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

LicenseStateTypeSpecialty
27239CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1306353461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34500 MONTEREY AVE",
            "address_2": "WALMART STORE 5096 ATTN: PHARMACY",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112089",
            "telephone_number": "760-328-3168",
            "fax_number": "760-328-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34500 MONTEREY AVE",
            "address_2": "WALMART STORE 5096 ATTN: PHARMACY",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112089",
            "telephone_number": "760-328-3168",
            "fax_number": "760-328-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTOR",
        "first_name": "JAY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "27239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.