OrganizationActive
Emmanuel Pharmacy Corp.
NPI 1053751024 · Community/Retail Pharmacy · Palm Desert, CA
Emmanuel Pharmacy Corp. is a Community/Retail Pharmacy organization in Palm Desert, CA (NPI 1053751024).
Provider details
- NPI number
- 1053751024
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Walid Ibrahim, Ceo(760) 835-9888
- License
- 51507 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
77760 Country Club Dr
Suite I
Palm Desert, CA 92211-6247
Phone: (760) 360-1080
Fax: (760) 360-1085
Street-level locationGet directions
Mailing address
77760 Country Club Dr
Palm Desert, CA 92211-6247
Registry dates
- Enumerated
- 2013-07-04
- Last updated
- 2013-09-12
Frequently asked questions
- What is Emmanuel Pharmacy Corp.'s NPI number?
- Emmanuel Pharmacy Corp.'s National Provider Identifier (NPI) is 1053751024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emmanuel Pharmacy Corp.?
- Emmanuel Pharmacy Corp. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Emmanuel Pharmacy Corp. located?
- Emmanuel Pharmacy Corp.'s practice location on file with NPPES is 77760 Country Club Dr, Palm Desert, CA 92211-6247.
- What is Emmanuel Pharmacy Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Emmanuel Pharmacy Corp. is (760) 360-1080.
- Who is the authorized official for Emmanuel Pharmacy Corp.?
- The authorized official listed on Emmanuel Pharmacy Corp.'s NPPES record is Walid Ibrahim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emmanuel Pharmacy Corp.'s NPI active?
- Yes — Emmanuel Pharmacy Corp.'s NPI (1053751024) is active in the NPPES registry as of the last update on 2013-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.