Organization Active NPI

Byram Healthcare Centers, Inc

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1144325556
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY49255 Issued in CA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA470430MedicaidCA
1144325556MedicaidCA
0523402OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BOWERMANS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.