Organization
DESERT PHARMACY
Active
Organization
DESERT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL TEAGUE PHARM.D. (CEO/PRESIDENT)
(760) 997-7800
Entity
Organization
Contact information
Practice address
1560 S IMPERIAL AVE, EL CENTRO, CA 92243-4241
(760) 997-7800
(760) 997-7801
Mailing address
1560 S IMPERIAL AVE, EL CENTRO, CA 92243-4241
(760) 997-7800
(760) 997-7801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5665027
NABP
CA
01
—
57741
PHARMACY LICENSE CALIFORNIA BOARD OF PHARMACY
CA
05
—
PHY2154641
—
CA
Enumeration date
12/04/2017
Last updated
01/31/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up