Individual provider Active NPI

Andrew David Skorheim, PHARM.D.

  • Pharmacist
  • Porterville, CA
National Provider Identifier
1053978593
Registry record updated Aug 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S023816 Issued in AZ
Practice address
26501 Avenue 140 Apt 30
Porterville, CA 93257-9109
Phone
(562) 822-1279
NPI assigned
May 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S023816 AZ Primary

Addresses

Primary practice location

26501 Avenue 140 Apt 30
Porterville, CA 93257-9109

Mailing address

PO Box 2647
Porterville, CA 93258-2647
Phone (562) 822-1279

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

State licenses

LicenseStateTypeSpecialty
S023816AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1053978593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2647",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932582647",
            "telephone_number": "562-822-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26501 AVENUE 140 APT 30",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579109",
            "telephone_number": "562-822-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORHEIM",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2022; 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.