Avenal Express Pharmacy LLC

Key facts

NPI

1013489400

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

Legal business name

AVENAL EXPRESS PHARMACY LLC

Practice address

317 E Kings St
Avenal, CA 93204-1630

Phone

(559) 583-1480

Fax

(559) 583-1475

NPI assigned

Dec 22, 2018

Organization subpart

No

Authorized official

Name

Dr. Hassan Ismael NPI 1346996410

Title

Pic

Phone

(559) 345-6737

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avenal Express Pharmacy LLC Long Term Care Pharmacy · Avenal, CA · NPI 1083465199
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hassan Saad Ismael Pharmacist · Avenal, CA · NPI 1346996410
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in CA

Medicare enrollment records

National Provider Directory

Tax ID family

Avenal Express Pharmacy LLC (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other names

• Express Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 24, 2024.

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1013489400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9699",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933899699",
            "telephone_number": "559-583-1480",
            "fax_number": "559-583-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E KINGS ST",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041630",
            "telephone_number": "559-583-1480",
            "fax_number": "559-583-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENAL EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-22",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "ISMAEL",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "559-345-6737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avenal, CA

• Aria Community Health Center
• Aria Community Health Center
• Aria Community Health Center
• Charles Askew II, LVN
• Avenal District Ambulance Service
• Avenal Express Pharmacy LLC
• Avenal Healthcare District
• Avenal Medical Center
• Petra G Baltierrez, FNP
• Cony Rose Manalang Bencito, FNP-C

All providers in Avenal, CA · Community/Retail Pharmacy in California