1. Home
  2. Directory
  3. California
  4. Calexico
  5. Pharmacy
  6. NPI Profile

DE ANZA PHARMACY
NPI 1407122815
Pharmacy - Community/Retail Pharmacy in Calexico, CA

Active since March 29, 2012
302 #B E 3RD ST, CALEXICO, CA 92231(760) 768-2900(760) 768-2929 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De Anza Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE ANZA PHARMACY (NPI 1407122815) is a healthcare organization registered as a community/retail pharmacy in Calexico, California and active in the NPI registry since March 2012. The organization lists Gregory Gelman, President/pic, as its authorized official.

NPPES Registry Identity

NPI1407122815
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDESERT AGAVE PHARMACY INC
Location Address302 #B E 3RD STCalexico, CA 92231-2760
Mailing Address302 #b E 3rd StCalexico, CA 92231-2760 · (760) 768-2900 · Fax (760) 768-2929
Phone(760) 768-2900
Fax(760) 768-2929
Organization SubpartNo
Authorized OfficialGregory GelmanPresident/pic · (760) 768-2900
Enumeration DateMarch 29, 2012
Last NPPES UpdateMarch 7, 2023
✔ NPI 1407122815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY50893
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X · License PHY50893 (CA)

Other Names 1

Doing Business AsDe Anza Pharmacy

Other Identifiers 1

OtherPHY50893CA · California State Board Of Pharmacy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desert Agave Pharmacy Inc's NPI number?

The NPI number for Desert Agave Pharmacy Inc is 1407122815. It was assigned to this organization in the NPPES registry on March 29, 2012. The provider is doing business as De Anza Pharmacy.

Where is Desert Agave Pharmacy Inc located?

Desert Agave Pharmacy Inc is located at 302 #b E 3rd St, Calexico, CA 92231. The listed phone number is (760) 768-2900.

What is Desert Agave Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Desert Agave Pharmacy Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.