Desertrx Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51719 Issued in CA

Legal business name

DESERTRX PHARMACY

Practice address

73091 Country Club Dr Ste A4
Palm Desert, CA 92260-2338

Phone

(760) 836-3738

Fax

(760) 836-3739

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Virginia Casella

Title

Owner

Phone

(561) 223-8611

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DesertRx Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1316207665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73091 COUNTRY CLUB DR STE A4",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602338",
            "telephone_number": "760-836-3738",
            "fax_number": "760-836-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73091 COUNTRY CLUB DR STE A4",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602338",
            "telephone_number": "760-836-3738",
            "fax_number": "760-836-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERTRX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "CASELLA",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-223-8611"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DesertRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DesertRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desert Rose Assisted Living
• Desert Seniors Home Health, Inc.
• Desert Spine Sport & Joint Center
• Desert Vascular Institute, a Professional Medical Corporation
• Desert Vip Urgent Care
• Rafael Desta
• Rene Dewenter, DDS
• Jade Kali Dewitt
• Diabetes Dimensions, LLC
• Diagnostix Premium Pathology Partners, Inc

• Community/Retail Pharmacy in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.