Active NPI
Kyle Gundlach
- Pharmacist
- Palm Springs, CA
National Provider Identifier
1366910010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79914
- Practice address
- 275 N El Cielo Rd
Palm Springs, CA 92262-6972 - Phone
- (760) 969-6560
- NPI assigned
- Nov 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79914 | CA | Primary |
Addresses
Primary practice location
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Mailing address
48751 Southview PL
Indio, CA 92201-6731
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79914 | CA | MD | Pharmacist |
Interoperability endpoints
- kyle.gundlach.p5@direct.mydohc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1366910010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48751 SOUTHVIEW PL",
"city": "INDIO",
"state": "CA",
"postal_code": "922016731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-969-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDLACH",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79914",
"primary": true
}
],
"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 Nov 9, 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.