Pacific Pharmacy Service Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PACIFIC PHARMACY SERVICE INC

Doing business as

Medicine Shoppe

Practice address

174 S Sunrise Way
Palm Springs, CA 92262-6737

Phone

(760) 327-4881

Fax

(760) 322-1807

NPI assigned

Jun 25, 2007

Last updated

Mar 7, 2023By 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

Sung Park, RPH

Title

Owner Pharmacist

Phone

(760) 327-4881

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730385949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626737",
            "telephone_number": "760-327-4881",
            "fax_number": "760-322-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626737",
            "telephone_number": "760-327-4881",
            "fax_number": "760-322-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "760-327-4881",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA487190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5627382",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montgomery Ostrander
• William Robert Owen, CADC-II
• Pacific Clinics
• Pacific Haven Wellness
• Pacific Pharmacy Service Inc (Palm Springs Pharmacy)
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine Services, Inc (CardioSom)

• 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 7, 2023; 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.