Grizzly Pharmacy-Clovis

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRIZZLY PHARMACY-CLOVIS

Practice address

255 W Herndon Ave Ste 101
Clovis, CA 93612-0381

Phone

(559) 324-1808

Fax

(559) 324-1876

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Drew Warthen

Title

Owner

Phone

(559) 324-1808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1013787092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-324-1808",
            "fax_number": "559-324-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-324-1808",
            "fax_number": "559-324-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIZZLY PHARMACY-CLOVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "WARTHEN",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-324-1808"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneet Kaur Grewal
• John Grieco
• Paula Danelle Grieco
• Natalie Griego
• Vanessa Grimsley, SLPA
• Alyssa Nicole Gross
• Mei Feng Guan
• Carolina Guardado
• Luke Samuel Gudino
• Sravya N Gudipudi, MS

• Community/Retail Pharmacy in Clovis, CA
• Providers in Clovis, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.