NPIMap

Organization Active NPI

El Mirador Medical Plaza Pharmacy Inc

Doing business as RMC Pharmacy Brockton

  • Long Term Care Pharmacy
  • Riverside, CA
National Provider Identifier
1871303065
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
EL MIRADOR MEDICAL PLAZA PHARMACY INC
Doing business as
RMC Pharmacy Brockton
Practice address
7117 Brockton Ave
Riverside, CA 92506-2658
Phone
(951) 899-8199
Fax
(951) 899-8198
NPI assigned
Jan 9, 2025
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EL MIRADOR MEDICAL PLAZA PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Mr. Ramesh UpadhyayulaNPI 1467775619
Title
President
Phone
(760) 323-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

7117 Brockton Ave
Riverside, CA 92506-2658

Mailing address

7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 899-8199

Other names 1

  • RMC PHARMACY BROCKTON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Mirador Medical Plaza PH9 organizations share this tax ID, including this one
Part of
El Mirador Medical Plaza PH

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1871303065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062658",
            "telephone_number": "951-899-8199",
            "fax_number": "951-899-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062658",
            "telephone_number": "951-899-8199",
            "fax_number": "951-899-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MIRADOR MEDICAL PLAZA PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL MIRADOR MEDICAL PLAZA PHARMACY INC",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "UPADHYAYULA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-323-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMC PHARMACY BROCKTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.