Pathway Pharmaceuticals Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51682 Issued in CA

Legal business name

PATHWAY PHARMACEUTICALS INC.

Doing business as

La Quinta Pharmacy

Practice address

43875 Washington St Ste a
Palm Desert, CA 92211-8249

Phone

(760) 777-9902

Fax

(760) 777-9820

NPI assigned

Dec 19, 2013

Last updated

Dec 19, 2013By 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

Adeyemi OmilanaNPI 1770658635

Title

President/Pharmacist

Phone

(760) 346-1113

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• La Quinta Pharmacy Doing business as

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.

• Adeyemi Akintunde Omilana, RPH

  • Pharmacist
  • Palm Springs, CA
  • NPI 1770658635
  NPD (past) Authorized official
• Funmi Adereti

  • Pharmacist
  • Palm Desert, CA
  • NPI 1922673144
  NPD (past)
• Inna Velasquez

  • Pharmacist
  • Palm Desert, CA
  • NPI 1649880790
  NPD (past)

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1932520863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43875 WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118249",
            "telephone_number": "760-777-9902",
            "fax_number": "760-777-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43875 WASHINGTON ST STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118249",
            "telephone_number": "760-777-9902",
            "fax_number": "760-777-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY PHARMACEUTICALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "OMILANA",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "760-346-1113"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51682",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Quinta Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reena Patel, DDS
• Riddhi Patel, PHARM.D.
• Sara Patel
• Diptee Pathak, PT, DPT
• Pathway Pharmaceuticals Inc (Fireside Pharmacy)
• Soniya Patidar, DMD
• Patricia L. James, M.D. , Inc.
• Velia May Patrick
• Monica Paz, HIGH SCHOOL DIPLOMA
• Pearle Visioncare, Inc

• Community/Retail Pharmacy in Palm Desert, CA
• Providers in Palm Desert, 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 Dec 19, 2013; 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.