NPIMap

Organization Active NPI

Student Health Service Pharmacy

  • Clinic Pharmacy
  • Fresno, CA
National Provider Identifier
1093922957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHE17363 Issued in CA
Legal business name
STUDENT HEALTH SERVICE PHARMACY
Practice address
5044 N Barton Ave
MS81
Fresno, CA 93740-0001
Phone
(559) 278-6720
Fax
(559) 278-6080
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Joyce Harris
Title
Director
Phone
(559) 278-6715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHE17363 CA Primary

Addresses

Primary practice location

5044 N Barton Ave
MS81
Fresno, CA 93740-0001

Mailing address

5044 N Barton Ave
MS81
Fresno, CA 93740-0001
Phone (559) 278-6720

Other names 1

  • CSU-Fresno Student Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Student Health Service Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5044 N Barton Ave
Fresno, CA 93740
Phone (559) 278-6729

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093922957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 N BARTON AVE",
            "address_2": "MS81",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6720",
            "fax_number": "559-278-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 N BARTON AVE",
            "address_2": "MS81",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6720",
            "fax_number": "559-278-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH SERVICE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-278-6715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHE17363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSU-Fresno Student Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.