RIVER'S EDGE PHARMACY – NPI #1689823486
Pharmacy
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.
RIVER'S EDGE PHARMACY is a pharmacy located in PALM DESERT, CA. NPPES has assigned the NPI number 1689823486 to RIVER'S EDGE PHARMACY on September 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVER'S EDGE PHARMACY” is a dba name, the actual legal business name for this organization is HAN SAM CORP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 8 years ago on Dec 21, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVER'S EDGE PHARMACY below.
NPI Profile for
HAN SAM CORP
(more than 17 years ago)
PALM DESERT, CA 92211-6069 Phone: (760) 340-3248 Fax: (760) 340-3258
SUITE 102
PALM DESERT, CA 92211-6069 Phone: (760) 340-3248 Fax: (760) 340-3258
CEO
Phone: (760) 340-3248
Identifiers for RIVER'S EDGE PHARMACY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | PK | 2117821 | |
| MEDICAID | CA | 1689823486 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 333600000X - Pharmacy (Primary) |
CA | PHY49157 |
| 3336S0011X - Pharmacy / Specialty Pharmacy |
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| 3336H0001X - Pharmacy / Home Infusion Therapy Pharmacy |
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| 3336C0004X - Pharmacy / Compounding Pharmacy |
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| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
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| 332B00000X - Durable Medical Equipment & Medical Supplies |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.