Active NPI
Paul Shapazian
- Pharmacist
- Fresno, CA
National Provider Identifier
1124487459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63251
- Practice address
- 1303 E Herndon Ave
Fresno, CA 93720-3309 - Phone
- (559) 450-3132
- NPI assigned
- Feb 15, 2016
- Sex
- Male
- 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 | 63251 | CA | Primary |
Addresses
Primary practice location
1303 E Herndon Ave
Fresno, CA 93720-3309
Mailing address
5370 Horseshoe Bend Ave
Clovis, CA 93619-9531
Phone (559) 349-7986
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63251 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1124487459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5370 HORSESHOE BEND AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936199531",
"telephone_number": "559-349-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203309",
"telephone_number": "559-450-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPAZIAN",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63251",
"primary": true
}
],
"identifiers": [],
"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 Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.