Akash Agarwal

Individual provider Active NPI Pharmacist · Fontana, CA

NPI 1124536032 · NPPES record last updated Jan 12, 2018

Key facts

NPI
1124536032
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
77720 (CA)
Practice address
16108 Foothill Blvd
Fontana, CA 92335-3356
Phone
(909) 357-6900
NPI assigned
Jan 12, 2018
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77720 CA Yes

Addresses

Primary practice location

16108 Foothill Blvd
Fontana, CA 92335-3356

Mailing address

16108 Foothill Blvd
Fontana, CA 92335-3356

Other providers in Fontana, CA

All providers in Fontana, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.