Provider Demographics
NPI:1003404112
Name:PALMS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PALMS HEALTH SERVICES LLC
Other - Org Name:PALMS DIRECT SPECIALTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF PHARMACY
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:NARENDRA
Authorized Official - Last Name:TRIPATHI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:561-513-9161
Mailing Address - Street 1:3491 S CONGRESS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3021
Mailing Address - Country:US
Mailing Address - Phone:561-318-3753
Mailing Address - Fax:561-469-7143
Practice Address - Street 1:3491 S CONGRESS AVE STE B
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3021
Practice Address - Country:US
Practice Address - Phone:561-318-3753
Practice Address - Fax:561-469-7143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015717100Medicaid