PATHWAY PHARMACEUTICALS INC (NPI# 1629140405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629140405 |
| Entity Type | Organization |
| Organization Name | PATHWAY PHARMACEUTICALS INC |
| Other Organization Name | FIRESIDE PHARMACY |
| Practice Address |
73847 Highway 111 Palm Desert CA 92260-4005 |
| Practice Telephone | 7603461113 |
| Practice Fax Number | 7603468725 |
| Mailing Telephone | 7603461113 |
| Mailing Fax Number | 7603468725 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | ADEYEMI OMILANA (OWNER) |
| Authorized Official Telephone | 7604094898 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47407 | CA | Suppliers |
| N | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA474070 | 05 | |
| PK | 2067075 | 01 |
| Other Name | Type Code |
|---|---|
| FIRESIDE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063423697 | Pathway Pharmaceuticals Inc | Durable Medical Equipment & Medical Supplies | 555 E Tachevah Dr Ste 1w101, Palm Springs, CA 92262-5772 | 2006-08-10 |
| Street Address |
73847 HIGHWAY 111 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437517299 | Palm Desert Pharmacy Inc | Pharmacy | 73261 Highway 111, Suite 101, Palm Desert, CA 92260-3928 | 2016-02-08 |
| 1053751024 | Emmanuel Pharmacy Corp. | Pharmacy | 77760 Country Club Dr, Suite I, Palm Desert, CA 92211-6247 | 2013-07-04 |
| 1689823486 | Han Sam Corp | Pharmacy | 36919 Cook St Ste 102, Palm Desert, CA 92211-6069 | 2008-09-17 |
| 1528252178 | Walgreen Co | Pharmacy | 78218 Varner Rd, Palm Desert, CA 92211-4134 | 2007-08-28 |
| 1972650208 | Kaiser Foundation Health Plan Inc | Pharmacy | 75 036 Gerald Ford Dr, Palm Desert, CA 92211 | 2007-01-05 |
| 1760592364 | Costco Wholesale Corporation | Pharmacy | 72800 Dinah Shore Dr, Palm Desert, CA 92211 | 2006-08-30 |
| 1578505327 | Wal-mart Stores, Inc. | Pharmacy | 34500 Monterey Avenue, Palm Desert, CA 92260 | 2006-06-12 |
| 1194766014 | Garfield Beach Cvs LLC | Pharmacy | 42155 Washington St, Palm Desert, CA 92211-8006 | 2006-06-10 |
| 1285058982 | Walgreens | Pharmacy | 44840 Monterey Ave, Palm Desert, CA 92260-3325 | 2014-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.