PATHWAY PHARMACEUTICALS INC NPI 1063423697

NPI Information

  • NPI: 1063423697
  • Provider Name: PATHWAY PHARMACEUTICALS INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: LAS PALMAS PHARMACY
  • Address: 555 E TACHEVAH DR STE 1W101
    PALM SPRINGS, CA
    ZIP 92262
  • Phone: (760) 416-0830

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NPI Details

PATHWAY PHARMACEUTICALS INC is a pharmacy in Palm Springs, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PATHWAY PHARMACEUTICALS INC NPI is 1063423697. The provider is registered as an organization entity type.
The provider Is Doing Business As Las Palmas Pharmacy.

The provider's business location address is:

555 E TACHEVAH DR STE 1W101
PALM SPRINGS, CA
ZIP 92262-772
Phone: (760) 416-0830
Fax: (760) 416-0832

The provider's authorized official is Adeyemi Omilana .
The authorized official title is Pharmacist In Charge/owner and has the following contact phone number (760) 416-0830.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336M0002XPharmacyMail Order PharmacyNo
53336S0011XPharmacySpecialty PharmacyNo
6333600000XPharmacyPHY45912CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12004895OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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