EMMANUEL PHARMACY CORP. NPI 1053751024

NPI Information

  • NPI: 1053751024
  • Provider Name: EMMANUEL PHARMACY CORP.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 77760 COUNTRY CLUB DR
    SUITE I
    PALM DESERT, CA
    ZIP 92211
  • Phone: (760) 360-1080

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NPI Details

EMMANUEL PHARMACY CORP. is a community/retail pharmacy pharmacy in Palm Desert, CA. The provider is 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. EMMANUEL PHARMACY CORP. NPI is 1053751024. The provider is registered as an organization entity type.

The provider's business location address is:

77760 COUNTRY CLUB DR
SUITE I
PALM DESERT, CA
ZIP 92211-247
Phone: (760) 360-1080
Fax: (760) 360-1085

The provider's authorized official is Walid Ibrahim .
The authorized official title is Ceo and has the following contact phone number (760) 835-9888.

The enumeration date for this NPI number is 7/4/2013 and was last updated on 9/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy51507CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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