NPIMap

Organization Active NPI

Reliance Imperial Pharmacy LLC

Doing business as Farmacia del Pueblo

  • Long Term Care Pharmacy
  • El Centro, CA
National Provider Identifier
1548080179
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RELIANCE IMPERIAL PHARMACY LLC
Doing business as
Farmacia del Pueblo
Practice address
1692 S 4TH St Ste F
El Centro, CA 92243-4747
Phone
(760) 353-9000
Fax
(760) 353-9888
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Brahmaji ValivetiNPI 1962725499
Title
President
Phone
(917) 676-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1692 S 4TH St Ste F
El Centro, CA 92243-4747

Mailing address

1692 S 4TH St Ste F
El Centro, CA 92243-4747
Phone (760) 353-9000

Other names 1

  • FARMACIA DEL PUEBLO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia del Pueblo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1692 S 4th St
Ste F
El Centro, CA 92243
Phone (760) 353-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1548080179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 S 4TH ST STE F",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434747",
            "telephone_number": "760-353-9000",
            "fax_number": "760-353-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 S 4TH ST STE F",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434747",
            "telephone_number": "760-353-9000",
            "fax_number": "760-353-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE IMPERIAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "VALIVETI",
        "authorized_official_first_name": "BRAHMAJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-676-1811"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA DEL PUEBLO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.