NPIMap

Individual provider Active NPI

Gregory Collins, PHARMD.

  • Pharmacist
  • Palm Desert, CA
National Provider Identifier
1992232748
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55581 Issued in CA
Practice address
39575 Washington St Ste 103
Palm Desert, CA 92211-4152
Phone
(760) 200-0220
Fax
(760) 200-0990
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55581 CA Primary

Addresses

Primary practice location

39575 Washington St Ste 103
Palm Desert, CA 92211-4152

Mailing address

39575 Washington St Ste 103
Palm Desert, CA 92211-4152
Phone (760) 200-0220

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
55581CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Pharmacy Services, LLC. Current Accepting new patients
Cornerstone Pharmacy Services LLC Current Accepting new patients

Locations

39575 Washington St
Ste 103
Palm Desert, CA 92211
Phone (760) 200-0220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1992232748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39575 WASHINGTON ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114152",
            "telephone_number": "760-200-0220",
            "fax_number": "760-200-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39575 WASHINGTON ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114152",
            "telephone_number": "760-200-0220",
            "fax_number": "760-200-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GREGORY",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.