Individual provider Active NPI

Alis Filipioglu-Fago, PHARM. D., RPH

  • Pharmacist
  • Fresno, CA
National Provider Identifier
1003048521
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41879 Issued in CA
Practice address
7535 N Palm Ave Ste 101
Fresno, CA 93711-5504
Phone
(559) 432-9800
Fax
(559) 432-2349
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41879 CA Primary
Pharmacist 183500000X 9791 NV

Addresses

Primary practice location

7535 N Palm Ave Ste 101
Fresno, CA 93711-5504

Mailing address

PO Box 910213
San Diego, CA 92191-0213
Phone (619) 794-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
41879CAMDDentist
9791NVMDAnesthesiology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1003048521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910213",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921910213",
            "telephone_number": "619-794-6000",
            "fax_number": "858-536-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115504",
            "telephone_number": "559-432-9800",
            "fax_number": "559-432-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPIOGLU-FAGO",
        "first_name": "ALIS",
        "name_prefix": "Dr.",
        "credential": "PHARM. D., RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "41879",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "9791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.