Route 66 Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ROUTE 66 PHARMACY

Practice address

821 W Broadway St
Needles, CA 92363-2701

Phone

(760) 800-0108

Fax

(760) 800-0107

NPI assigned

Jul 11, 2026

Last updated

Jul 11, 2026By 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

Samvel Khachatryan

Title

President/Ceo

Phone

(760) 800-0108

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Route 66 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Route 66 Pharmacy

  • Community/Retail Pharmacy
  • Needles, CA
  • NPI 1316757503
  NPD tax ID

Locations

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1659290963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W BROADWAY ST",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923632701",
            "telephone_number": "760-800-0108",
            "fax_number": "760-800-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W BROADWAY ST",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923632701",
            "telephone_number": "760-800-0108",
            "fax_number": "760-800-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTE 66 PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-800-0108"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP",
            "identifier": "PHY60501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Robert Reid, RPH
• Melissa Rempp
• River Cities Health Services Inc.
• River View Emergency Physicians
• Route 66 Pharmacy
• Adele Rozsa
• David C Rubio
• Carl A Russell
• Stacia Shaver
• Alia Ali Smith, LMFT

• Long Term Care Pharmacy in Needles, CA
• Providers in Needles, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.