Organization · Type 2 NPI

El Mirador Medical Plaza Pharmacy Inc

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Palm Springs, CA

NPI number 1629651682 Active

Practice location

1180 N Indian Canyon Dr Ste E140
Palm Springs, CA 92262-4883

Call (760) 323-1001 Map

Fax (760) 323-1144

Other practice locations

422 N San Jacinto St, Hemet, CA 92543-3124 · (951) 305-5500
3975 Jackson St Ste 109, Riverside, CA 92503-3946 · (951) 637-0180

Specialties and licenses

Taxonomy	Code	License
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary	1835P0018X	None listed

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

8 other providers at this address

NPI record

NPI: 1629651682
Entity type: Organization (Type 2)
Issued: Apr 28, 2021
Last updated: Apr 28, 2021
Status: Active
Subpart: Yes of El Mirador Medical Plaza Pharmacy Inc.

Other names

Desert Hospital Outpatient Ambulatory Health · doing business as

Authorized official

Mr. Ramesh Upadhyayula, RPH
President/ceo
(760) 323-1001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629651682

El Mirador Medical Plaza Pharmacy Inc's National Provider Identifier is 1629651682, issued on Apr 28, 2021. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Palm Springs, CA. The record was last updated on Apr 28, 2021.