Fred Paul Besio, RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY365300 Issued in CA

Practice address

790 S Cloverdale Blvd
Cloverdale, CA 95425-4010

Phone

(707) 894-4414

Fax

(707) 894-9379

NPI assigned

Dec 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fred P Besio Cloverdale Pharmacy

  • Community/Retail Pharmacy
  • Cloverdale, CA
  • NPI 1386755940
  NPD Authorized official

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1104062801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 S CLOVERDALE BLVD",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954254010",
            "telephone_number": "707-894-4414",
            "fax_number": "707-894-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S CLOVERDALE BLVD",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954254010",
            "telephone_number": "707-894-4414",
            "fax_number": "707-894-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESIO",
        "first_name": "FRED",
        "middle_name": "PAUL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 30988",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY365300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA365300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Valley Healthcare
• Maria Jesus Alvarez, PH.D.
• Gina Simone Berry, MS, RD, CSP
• Catherine C Chu, L.AC.
• Cloverdale Counseling Center, Inc.
• Cloverdale Hospital District Ambulance
• Cloverdale Unified School District
• Coppertower Family Medical Center

• All providers in Cloverdale, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.