Punsit Buakaew, PHARMD
Individual provider Active NPI Pharmacist · Coachella, CA
NPI 1548748866 · NPPES record last updated Jul 30, 2018
Key facts
- NPI
- 1548748866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 67536 (CA)
- Practice address
- 50040 Harrison St
Coachella, CA 92236-1426 - Phone
- (760) 391-5395
- NPI assigned
- Jul 30, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67536 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67536 | CA | Yes |
Addresses
Primary practice location
50040 Harrison St
Coachella, CA 92236-1426
Mailing address
920 N Kings Rd Apt 124
West Hollywood, CA 90069-6226
Other providers in Coachella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.