Provider Demographics
NPI:1336224377
Name:PYRAMIDS PHARMACY CORPORATION
Entity type:Organization
Organization Name:PYRAMIDS PHARMACY CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RABADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-652-5988
Mailing Address - Street 1:1121 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-7635
Mailing Address - Country:US
Mailing Address - Phone:951-652-5988
Mailing Address - Fax:951-765-9118
Practice Address - Street 1:1121 S STATE ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-7635
Practice Address - Country:US
Practice Address - Phone:951-652-5988
Practice Address - Fax:951-765-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0583092OtherNCPDP
CAPHY54603OtherPHARMACY PERMIT
CA1336224377Medicaid
2164576OtherPK
CAFT6452510OtherDEA PERMIT
CAPHY54603OtherPHARMACY PERMIT