Desert Hills RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DESERT HILLS RX LLC

Doing business as

Blythe Mart Pharmacy

Practice address

301 W Hobsonway
Blythe, CA 92225-1639

Phone

(760) 922-3511

Fax

(760) 922-4404

NPI assigned

Sep 22, 2006

Last updated

Oct 29, 2024By 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

Ridhish Patel

Title

Managing Member

Phone

(760) 922-3511

Specialties & licenses 2

Addresses

Other names 1

• BLYTHE MART PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hung Duy Nguyen, RPH

  • Pharmacist
  • Blythe, CA
  • NPI 1417699117
  NPD
• In Il Kim, PHARM.D.

  • Pharmacist
  • Pico Rivera, CA
  • NPI 1578081287
  NPD (past)
• Chaehoon Song

  • Pharmacist
  • Blythe, CA
  • NPI 1619246105
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1811097652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251639",
            "telephone_number": "760-922-3511",
            "fax_number": "760-922-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251639",
            "telephone_number": "760-922-3511",
            "fax_number": "760-922-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HILLS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RIDHISH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "760-922-3511"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLYTHE MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLYTHE MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Rodriguez Davila
• Ashley Christine Defreese
• Ramiro Delgado Jr., BS
• Desert Air Ambulance Inc
• Desert Critical Care Transport, Inc.
• Desert View Medical
• Dharia DDS Professional Dental Corporation
• David DO, DMD
• Gregory C. Doane, MD
• Danny Elliott Drew, MD

• Community/Retail Pharmacy in Blythe, CA
• Providers in Blythe, 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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.