NPIMap

Organization Active NPI

Community Center Pharmacy

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1073677050
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY32777 Issued in CA
Legal business name
COMMUNITY CENTER PHARMACY
Practice address
2210 E Illinois Ave
Suite 101
Fresno, CA 93701-2184
Phone
(559) 459-6245
Fax
(559) 459-3926
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Richard A. Hagopian, PHARDD.
Title
Pharmacist
Phone
(559) 459-6245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY32777 CA Primary

Addresses

Primary practice location

2210 E Illinois Ave
Suite 101
Fresno, CA 93701-2184

Mailing address

2210 E Illinois Ave., Suite 101
Fresno, CA 93701-2184
Phone (559) 459-6245

Other identifiers 1

IdentifierTypeStateIssuer
0587595OtherNABP

National Provider Directory

National Provider Directory
Tax ID family
Comm Home Med Equip-Ca4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1073677050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE., SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012184",
            "telephone_number": "559-459-6245",
            "fax_number": "559-459-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012184",
            "telephone_number": "559-459-6245",
            "fax_number": "559-459-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "HAGOPIAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "559-459-6245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARDD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY32777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0587595",
            "state": null
        }
    ],
    "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 Oct 7, 2010; 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.