El Mirador Medical Plaza Pharmacy Inc
Pharmacy
1180 N Indian Canyon Dr Ste E140, Suite E140, Palm Springs
California, 92262-4883
760-323-1001 760-323-1144
El Mirador Medical Plaza Pharmacy Inc is a Pharmacy in Palm Springs, California. It is located at 1180 N Indian Canyon Dr Ste E140, Suite E140, Palm Springs and it's customer support contact number is 760-323-1001. The authorized person of El Mirador Medical Plaza Pharmacy Inc is Ramesh Upadhyayula who is President of the pharmacy and his contact number is 760-323-1001. Active license number of El Mirador Medical Plaza Pharmacy Inc is PHY46465 for Pharmacy in California. El Mirador Medical Plaza Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
El Mirador Medical Plaza Pharmacy Inc 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.
Pharmacy Details:
El Mirador Medical Plaza Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | El Mirador Medical Plaza Pharmacy Inc |
| Type: | Pharmacy |
| Location: | 1180 N Indian Canyon Dr Ste E140, Suite E140, Palm Springs,
California, 92262-4883 |
| Phone: | 760-323-1001 |
| Fax: | 760-323-1144 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ramesh Upadhyayula |
| Position: | President |
| Contact Number: | 760-323-1001 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1861504854 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for El Mirador Medical Plaza Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PHY46465 | California | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2067078 | Other | | Pk |
| PHA464650 | Medicaid | California | |
Medicare Enrollment:
El Mirador Medical Plaza Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4880804996 | O20100930035587 | El Mirador Medical Plaza Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 4880804996 | O20160504000689 | El Mirador Medical Plaza Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
El Mirador Medical Plaza Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Cpap, Rads, & Related Supplies & Accessories |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1180 N Indian Canyon Dr Ste E140, Suite E140
Palm Springs, California |
| Zip: | 92262-4883 |
| Phone Number: | 760-323-1001 |
| Fax Number: | 760-323-1144 |
Patients can reach El Mirador Medical Plaza Pharmacy Inc at
1180 N Indian Canyon Dr Ste E140, Suite E140, Palm Springs, California or can
call on customer care at 760-323-1001.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.