NPIMap

Organization Active NPI

El Mirador Medical Plaza Pharmacy Inc

  • Long Term Care Pharmacy
  • Palm Springs, CA
National Provider Identifier
1669018727
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
EL MIRADOR MEDICAL PLAZA PHARMACY INC
Practice address
1180 N Indian Canyon Dr Ste E140
Palm Springs, CA 92262-4883
Phone
(760) 323-1001
Fax
(760) 323-1144
NPI assigned
Nov 25, 2019
Organization subpart
Yes
Parent organization
EL MIRADOR MEDICAL PLAZA PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Ramesh Upadhyayula, RPHNPI 1467775619
Title
President
Phone
(760) 323-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste E140
Palm Springs, CA 92262-4883

Mailing address

1180 N Indian Canyon Dr Ste E140
Palm Springs, CA 92262-4883
Phone (760) 323-1001

Other names 1

  • Desert Hospital Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Mirador Medical Plaza PH9 organizations share this tax ID, including this one
Part of
El Mirador Medical Plaza PH

Other organizations with this tax ID 8

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1669018727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E140",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624883",
            "telephone_number": "760-323-1001",
            "fax_number": "760-323-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E140",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624883",
            "telephone_number": "760-323-1001",
            "fax_number": "760-323-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MIRADOR MEDICAL PLAZA PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL MIRADOR MEDICAL PLAZA PHARMACY INC",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "UPADHYAYULA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-323-1001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.