Individual provider Active NPI

Liz Beth Reyes

  • Pharmacist
  • El Centro, CA
National Provider Identifier
1710813589
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59302 Issued in CA
Practice address
1560 S Imperial Ave
El Centro, CA 92243-4241
Phone
(760) 997-7800
NPI assigned
Jun 19, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59302 CA Primary

Addresses

Primary practice location

1560 S Imperial Ave
El Centro, CA 92243-4241

Mailing address

636 Emerald St
Imperial, CA 92251-2512
Phone (760) 791-6316

Other practice location 1

636 Emerald St
Imperial, CA 92251-2512
Phone (760) 791-6316

Other names 1

  • Liz Beth Bonifacio Reyes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Pharmacy PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1710813589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 EMERALD ST",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922512512",
            "telephone_number": "760-791-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-997-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Emerald St",
            "address_purpose": "LOCATION",
            "city": "Imperial",
            "state": "CA",
            "postal_code": "922512512",
            "country_code": "US",
            "telephone_number": "760-791-6316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "LIZ BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ BETH",
            "last_name": "REYES",
            "middle_name": "BONIFACIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.