Pacific Pharmacy Service Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50939 Issued in CA

Legal business name

PACIFIC PHARMACY SERVICE INC

Doing business as

Palm Springs Pharmacy

Practice address

611 S Palm Canyon Dr Ste 12
Palm Springs, CA 92264-7453

Phone

(760) 327-4881

Fax

(760) 322-1807

NPI assigned

Nov 5, 2012

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sung Park

Title

President/Pic

Phone

(760) 327-4881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Springs Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1528312170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S PALM CANYON DR",
            "address_2": "SUITE 12",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647213",
            "telephone_number": "760-327-4881",
            "fax_number": "760-322-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S PALM CANYON DR STE 12",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647453",
            "telephone_number": "760-327-4881",
            "fax_number": "760-322-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "760-327-4881"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5645669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osahon Osifo, MD
• William E Ostermiller Jr., M.D.
• Montgomery Ostrander
• William Robert Owen, CADC-II
• Pacific Clinics
• Pacific Pharmacy Service Inc (Medicine Shoppe)
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation

• Community/Retail Pharmacy in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.