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El Mirador Medical Plaza Pharmacy Inc

NPI 1861178758ActiveOrganization· Pharmacy, Clinic Pharmacy· Temescal Valley, CA

Pharmacy, Clinic Pharmacy in Temescal Valley, California, registered in NPPES in June 2023, part of El Mirador Medical Plaza Pharmacy Inc. The authorized official on file is Ramesh Upadhyayula, President.

Overview

NPI1861178758
StatusActive
Entity typeOrganization (subpart)
Parent organizationEl Mirador Medical Plaza Pharmacy Inc
NPI issuedJun 26, 2023
Last updated in NPPESFeb 14, 2024
Certified by providerFeb 14, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Clinic Pharmacy Primary3336C0002X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years