Organization Active NPI

Star Pharmacy LLC

Doing business as Star Pharmacy

  • Community/Retail Pharmacy
  • Joshua Tree, CA
National Provider Identifier
1871608802
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STAR PHARMACY LLC
Doing business as
Star Pharmacy
Practice address
6448 Hallee Rd Ste 2
Joshua Tree, CA 92252-1908
Phone
(760) 366-3653
Fax
(760) 366-3674
NPI assigned
Aug 20, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Venkata Nandyala
Title
Owner
Phone
(760) 366-3653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6448 Hallee Rd Ste 2
Joshua Tree, CA 92252-1908

Mailing address

6448 Hallee Rd Ste 2
Joshua Tree, CA 92252
Phone (760) 366-3653

Other identifiers 2

IdentifierTypeStateIssuer
PHA343470MedicaidCA
1998973OtherPK

Other names 1

  • STAR PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

6448 Hallee Rd
Ste 2
Joshua Tree, CA 92252
Phone (760) 366-3653

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1871608802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 HALLEE RD STE 2",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "92252",
            "telephone_number": "760-366-3653",
            "fax_number": "760-366-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 HALLEE RD STE 2",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922521908",
            "telephone_number": "760-366-3653",
            "fax_number": "760-366-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-19",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "NANDYALA",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-366-3653"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA343470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joshua Tree, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.