NPIMap

Organization Active NPI

Clinicas de Salud del Pueblo, Inc

Doing business as Clinica Pharmacy

  • Community/Retail Pharmacy
  • Brawley, CA
National Provider Identifier
1407866502
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44279 Issued in CA
Legal business name
CLINICAS DE SALUD DEL PUEBLO, INC
Doing business as
Clinica Pharmacy
Innercare Pharmacy - Brawley
Practice address
900 Main St
Brawley, CA 92227
Phone
(760) 344-6471
Fax
(760) 344-8509
NPI assigned
Aug 9, 2006
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Mr. Roger G Irving, RPH
Title
Pharmacy Director
Phone
(760) 344-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY44279 CA Primary

Addresses

Primary practice location

900 Main St
Brawley, CA 92227

Mailing address

900 Main St
Brawley, CA 92227
Phone (760) 344-6471

Other identifiers 2

IdentifierTypeStateIssuer
0572215OtherNABP
0572215OtherNCPDP

Other names 2

  • Clinica Pharmacy Doing business as
  • Innercare Pharmacy - Brawley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinica de Salubridad de17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1407866502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "760-344-6471",
            "fax_number": "760-344-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "760-344-6471",
            "fax_number": "760-344-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAS DE SALUD DEL PUEBLO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "760-344-6471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0572215",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0572215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innercare Pharmacy - Brawley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.