Active NPI
Greater Fresno Development Corp.
- Community/Retail Pharmacy
- Fresno, CA
National Provider Identifier
1154490878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY13036
- Legal business name
- GREATER FRESNO DEVELOPMENT CORP.
- Practice address
- 4233 E Tulare St
Fresno, CA 93702-3036 - Phone
- (559) 255-3071
- Fax
- (559) 255-5058
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Michael Winton, RPH PHARMD
- Title
- VP Pharmacist
- Phone
- (559) 255-3071
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY13036 | CA | Primary |
Addresses
Primary practice location
4233 E Tulare St
Fresno, CA 93702-3036
Mailing address
4233 E Tulare St
Fresno, CA 93702-3036
Phone (559) 255-3071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA130360 | Medicaid | CA |
Other names 1
- Vista Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fresno, CA
- NPI 1003296708
-
- Pharmacist
- Clovis, CA
- NPI 1699758359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154490878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4233 E TULARE ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023036",
"telephone_number": "559-255-3071",
"fax_number": "559-255-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4233 E TULARE ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023036",
"telephone_number": "559-255-3071",
"fax_number": "559-255-5058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER FRESNO DEVELOPMENT CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WINTON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "VP PHARMACIST",
"authorized_official_telephone_number": "559-255-3071",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY13036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA130360",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vista 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.