Palm Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50598 Issued in CA

Legal business name

PALM PHARMACY INC

Doing business as

Palm Pharmacy

Practice address

254 E Harvard Blvd
Santa Paula, CA 93060-3372

Phone

(805) 525-8700

Fax

(805) 525-8711

NPI assigned

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Sanjiv PandyaNPI 1861145559

Title

President/Pic

Phone

(805) 525-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm 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.

• Sanjiv Pandya

  • Pharmacist
  • Santa Paula, CA
  • NPI 1861145559
  NPD Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1821396227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E HARVARD BLVD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603372",
            "telephone_number": "805-525-8700",
            "fax_number": "805-525-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E HARVARD BLVD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603372",
            "telephone_number": "805-525-8700",
            "fax_number": "805-525-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "805-525-8700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Ortiz
• Sonia Ortiz, BA
• Francesca M. Overmyer, AMFT
• Judith Rose Owen, MSW
• Bradley Brandsen Pace, PA-C
• Sanjiv Pandya
• Karina Asuncion Pardo, LMFT
• Rosalie Navarro Patricio, M.D.
• Tarsha Patterson, MS
• Pdap of Ventura County, Inc.

• Community/Retail Pharmacy in Santa Paula, CA
• Providers in Santa Paula, 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 13, 2015; 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.