Organization Active NPI

Dap Health, Inc.

Doing business as DBA Stonewall Pharmacy

  • Clinic Pharmacy
  • Cathedral City, CA
National Provider Identifier
1659824837
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
DAP HEALTH, INC.
Doing business as
DBA Stonewall Pharmacy
Practice address
68555 Ramon Road
Suite D105
Cathedral City, CA 92234
Phone
(760) 767-3047
Fax
(858) 635-6931
NPI assigned
Jul 25, 2016
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Judy Stith
Title
Chief Administrative Officer
Phone
(760) 323-2118

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary
Community/Retail Pharmacy 3336C0003X PHY54625 CA
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

68555 Ramon Road
Suite D105
Cathedral City, CA 92234

Mailing address

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 323-2118

Other names 1

  • DBA Stonewall Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241015001754 CA Part B Supplier - Pharmacy 6002989522 2 other NPIs on this enrollment
Practice locations: Borrego Springs, CA; Cathedral City, CA; Coachella, CA

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Borrego Community Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

68555 Ramon Rd
Bldg D
Cathedral City, CA 92234

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1659824837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-323-2118",
            "fax_number": "858-634-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68555 RAMON ROAD",
            "address_2": "SUITE D105",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-767-3047",
            "fax_number": "858-635-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAP HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "STITH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "760-323-2118"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54625",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Stonewall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.