Organization Active NPI

Town Square Pharmacy Inc

  • Community/Retail Pharmacy
  • Indio, CA
National Provider Identifier
1417088121
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
56054 Issued in CA
Legal business name
TOWN SQUARE PHARMACY INC
Practice address
81-709 Dr Carreon Blvd
#E-3
Indio, CA 92201-5509
Phone
(760) 342-4933
Fax
(760) 342-5673
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Authorized official

Name
Nancy Woo
Title
Ceo/Owner
Phone
(760) 342-4933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 56054 CA Primary

Addresses

Primary practice location

81-709 Dr Carreon Blvd
#E-3
Indio, CA 92201-5509

Mailing address

81-709 Dr Carreon Blvd
#E-3
Indio, CA 92201-5509
Phone (760) 342-4933

Other names 1

  • TOWN SQUARE PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1417088121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81-709 DR CARREON BLVD",
            "address_2": "#E-3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015509",
            "telephone_number": "760-342-4933",
            "fax_number": "760-342-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-709 DR CARREON BLVD",
            "address_2": "#E-3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015509",
            "telephone_number": "760-342-4933",
            "fax_number": "760-342-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "760-342-4933"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "56054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN SQUARE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.