Divya RX Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55428 Issued in CA

Legal business name

DIVYA RX SERVICES

Doing business as

Heritage Pharmacy

Practice address

275 N El Cielo Rd
D405
Palm Springs, CA 92262-6972

Phone

(760) 416-7999

Fax

(760) 416-7688

NPI assigned

Nov 8, 2006

Last updated

Mar 27, 2017By 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

Chandra Patel, PHARM D.

Title

Pharmacist in Charge

Phone

(760) 416-7999

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HERITAGE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1700956885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "address_2": "D405",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-416-7999",
            "fax_number": "760-416-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "address_2": "D405",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-416-7999",
            "fax_number": "760-416-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVYA RX SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "760-416-7999",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55428",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA443070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dimple Agarwal, M.D. Inc.
• Katelyn Dinh Nguyen
• Rose Thuhong Dinh, RPH
• Kevin Dipolito, PHARMD
• Joseph Diquattro, D.C.
• Trinity Thienanh Khoa DO, PHARMD, MBA
• Kelsey Marie Dobes, CRNA
• Paul William Doherty, M.D.
• Jason Erek Domagalski, M.D.
• Genesis Sophia Dominguez

• Community/Retail Pharmacy in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.