Organization Active NPI

Rancho Mirage Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Rancho Mirage, CA
National Provider Identifier
1962739425
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY49844 Issued in CA
Legal business name
RANCHO MIRAGE PHARMACY, INC.
Practice address
72-780 Country Club Dr.
BLD D-400
Rancho Mirage, CA 92270
Phone
(760) 340-1130
Fax
(760) 340-1150
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Mr. Jude Meng-Feng Hsieh, PHARM.D.
Title
President/Ceo
Phone
(714) 235-4237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY49844 CA Primary

Addresses

Primary practice location

72-780 Country Club Dr.
BLD D-400
Rancho Mirage, CA 92270

Mailing address

72-780 Country Club Dr.
BLD D-400
Rancho Mirage, CA 92270
Phone (760) 340-1130

National Provider Directory

National Provider Directory

Locations

72780 Country Club Dr
Ste 400D
Rancho Mirage, CA 92270
Phone (760) 340-1130

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1962739425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72-780 COUNTRY CLUB DR.",
            "address_2": "BLD D-400",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-340-1130",
            "fax_number": "760-340-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72-780 COUNTRY CLUB DR.",
            "address_2": "BLD D-400",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-340-1130",
            "fax_number": "760-340-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "HSIEH",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "MENG-FENG",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-235-4237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.