Active NPI
Mireille Hakim
- Pharmacist
- Palm Desert, CA
National Provider Identifier
1467950006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72045
- Practice address
- 36919 Cook St Ste 102
Palm Desert, CA 92211-6069 - Phone
- (760) 340-3248
- Fax
- (760) 340-3258
- NPI assigned
- Jan 29, 2018
- Last updated
- Jan 29, 2018
- Sex
- Female
- 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 | 72045 | CA | Primary |
Addresses
Primary practice location
36919 Cook St Ste 102
Palm Desert, CA 92211-6069
Mailing address
35751 Gateway Dr Unit L1230
Palm Desert, CA 92211-6047
Phone (626) 787-6946
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1467950006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35751 GATEWAY DR UNIT L1230",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116047",
"telephone_number": "626-787-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36919 COOK ST STE 102",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116069",
"telephone_number": "760-340-3248",
"fax_number": "760-340-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "MIREILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.