Andrey Buie, PHARMD
Individual provider Active NPI Pharmacist · Fortuna, CA
NPI 1154282267 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1154282267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 91586 (CA)
- Practice address
- 1065 S Fortuna Blvd
Fortuna, CA 95540 - Phone
- (707) 726-0377
- NPI assigned
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91586 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
1065 S Fortuna Blvd
Fortuna, CA 95540
Phone (707) 726-0377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 91586 | CA | Yes |
Addresses
Primary practice location
1065 S Fortuna Blvd
Fortuna, CA 95540
Mailing address
75 Del Vista Cir
Sacramento, CA 95823-5634
Phone (916) 596-8632
Other providers in Fortuna, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.