Herndon Healthcare, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY44976 Issued in CA

Legal business name

HERNDON HEALTHCARE, INC.

Doing business as

Herndon Pharmacy

Practice address

1827 E. Fir Avenue
Suite 101
Fresno, CA 93720

Phone

(559) 297-9002

Fax

(559) 297-6838

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Tayian Hurst, PHARM.D.

Title

Vice President/Pharmacist-in-Charge

Phone

(559) 297-9002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Herndon Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013917483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 E. FIR AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-297-9002",
            "fax_number": "559-297-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 E. FIR AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-297-9002",
            "fax_number": "559-297-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "TAYIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "559-297-9002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY44976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA449760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ07884Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herndon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Hernandez
• Yoselin Hernandez
• Justin Hernandezramirez
• Katherinn M Hernanez
• Herndon Dental
• Herndon Recovery Center
• Herndon Recovery Center
• Herndon Surgery Center, Inc.
• Kendra Alicia Herod
• Kang Herr Vann

• Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.