Individual provider Active NPI

Michael Garispe, PHARMD

  • Pharmacist
  • Coachella, CA
National Provider Identifier
1942860721
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70367 Issued in CA
Practice address
49281 Grapefruit Blvd Ste 2
Coachella, CA 92236-1486
Phone
(760) 296-3468
NPI assigned
Jun 14, 2019
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70367 CA Primary

Addresses

Primary practice location

49281 Grapefruit Blvd Ste 2
Coachella, CA 92236-1486

Mailing address

68870 Lozano CT
Cathedral City, CA 92234-3855
Phone (909) 362-2019

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pioneerrx

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
70367CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
C&S Pharmacy CurrentSince Feb 21, 2021 Accepting new patients
C&S Pharmacy Current Accepting new patients

Locations

49281 Grapefruit Blvd
Ste 2
Coachella, CA 92236
Phone (760) 296-3468

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1942860721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68870 LOZANO CT",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343855",
            "telephone_number": "909-362-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49281 GRAPEFRUIT BLVD STE 2",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361486",
            "telephone_number": "760-296-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARISPE",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pioneerrx",
            "affiliation": "N",
            "address_1": "49281 Grapefruit Blvd Ste 2",
            "city": "Coachella",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922361486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.