Active NPI
Byram Healthcare Centers, Inc
- Community/Retail Pharmacy
- Fresno, CA
National Provider Identifier
1144325556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY49255
- Legal business name
- BYRAM HEALTHCARE CENTERS, INC
- Doing business as
- BOWERMANS PHARMACY
- Practice address
- 3131 S Willow Ave
Ste 103
Fresno, CA 93725-9349 - Phone
- (559) 256-7988
- Fax
- (866) 514-2911
- NPI assigned
- Sep 13, 2006
- Organization subpart
- Yes
- Parent organization
- BYRAM HOLDINGS I, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Perry A Bernocchi
- Title
- President and Ceo
- Phone
- (914) 286-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY49255 | CA | Primary |
Addresses
Primary practice location
3131 S Willow Ave
Ste 103
Fresno, CA 93725-9349
Mailing address
3131 S Willow Ave
Ste 103
Fresno, CA 93725-9349
Phone (559) 256-7988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA470430 | Medicaid | CA | |
| 1144325556 | Medicaid | CA | |
| 0523402 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- BOWERMANS PHARMACY
National Provider Directory
National Provider DirectoryLocations
3131 S Willow Ave
Ste 103
Fresno, CA 93725
Phone (559) 256-7988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1144325556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 S WILLOW AVE",
"address_2": "STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937259349",
"telephone_number": "559-256-7988",
"fax_number": "866-514-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 S WILLOW AVE",
"address_2": "STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937259349",
"telephone_number": "559-256-7988",
"fax_number": "866-514-2911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BYRAM HEALTHCARE CENTERS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BYRAM HOLDINGS I, INC.",
"enumeration_date": "2006-09-13",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "BERNOCCHI",
"authorized_official_first_name": "PERRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "914-286-2000"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY49255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA470430",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144325556",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0523402",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BOWERMANS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.