Active NPI
Henriette Estelle Frisbie, RPH
- Pharmacist
- Atwater, CA
National Provider Identifier
1114147568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 24065
- Practice address
- 1701 Bellevue Rd
Atwater, CA 95301 - Phone
- (209) 357-2957
- Fax
- (209) 357-8172
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 24065 | CA | Primary |
Addresses
Primary practice location
1701 Bellevue Rd
Atwater, CA 95301
Mailing address
2669 Canoe St
Copperopolis, CA 95228-9536
Phone (209) 785-5206
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 24065 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114147568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2669 CANOE ST",
"city": "COPPEROPOLIS",
"state": "CA",
"postal_code": "952289536",
"telephone_number": "209-785-5206",
"fax_number": "209-357-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 BELLEVUE RD",
"city": "ATWATER",
"state": "CA",
"postal_code": "95301",
"telephone_number": "209-357-2957",
"fax_number": "209-357-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISBIE",
"first_name": "HENRIETTE",
"middle_name": "ESTELLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 24065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.