Hot Springs Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54379 Issued in CA

Legal business name

HOT SPRINGS PHARMACY INC

Practice address

13313 Palm Dr Ste a
Desert Hot Springs, CA 92240-5980

Phone

(760) 251-2222

Fax

(760) 251-1200

NPI assigned

Mar 11, 2016

Organization subpart

No

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

Authorized official

Name

Marko Fam, RPHNPI 1285306837

Title

Ceo / Pic / Owner / Ao

Phone

(760) 251-2222

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hot Springs Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Marko Fam

  • Pharmacist
  • Desert Hot Springs, CA
  • NPI 1285306837
  NPD Authorized official

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1720449267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 PALM DR STE A",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405980",
            "telephone_number": "760-251-2222",
            "fax_number": "760-251-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 PALM DR STE A",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405980",
            "telephone_number": "760-251-2222",
            "fax_number": "760-251-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "FAM",
        "authorized_official_first_name": "MARKO",
        "authorized_official_title_or_position": "CEO / PIC / OWNER / AO",
        "authorized_official_telephone_number": "760-251-2222",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54379",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hot Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Hinojosa
• Ralph Holcomb
• Michele Holleman
• Camanetha Hopkins
• Nina Rene Hopkins
• Tara Eleanor Hoydic, RADT
• Andres Hoyo, MS
• Michele Hurley, D.C.
• Tiffany Christina Hurstrom, SUDRCC
• Eric Husband

• Community/Retail Pharmacy in Desert Hot Springs, CA
• Providers in Desert Hot 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 May 3, 2016; 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.