Organization Active NPI

Imperial Valley Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Calexico, CA
National Provider Identifier
1467410316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
IMPERIAL VALLEY PHARMACY, INC.
Doing business as
Valley Phamacy
Practice address
2451 Rockwood Ave
Suite 111
Calexico, CA 92231-4404
Phone
(760) 357-3520
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Suzanne R. Baeza
Title
President
Phone
(760) 357-3520

Specialties & licenses 1

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

Addresses

Primary practice location

2451 Rockwood Ave
Suite 111
Calexico, CA 92231-4404

Mailing address

2451 Rockwood Ave
Suite 111
Calexico, CA 92231-4404
Phone (760) 357-3520

Other names 1

  • Valley Phamacy Doing business as

National Provider Directory

National Provider Directory

Locations

2451 Rockwood Ave
Ste 111
Calexico, CA 92231
Phone (760) 357-3520

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467410316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 ROCKWOOD AVE",
            "address_2": "SUITE 111",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314404",
            "telephone_number": "760-357-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 ROCKWOOD AVE",
            "address_2": "SUITE 111",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314404",
            "telephone_number": "760-357-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAEZA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-357-3520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Phamacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.