Organization Active NPI

Fonseca Pharmacy Services, Inc.

  • Community/Retail Pharmacy
  • Reedley, CA
National Provider Identifier
1164820197
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51818 Issued in CA
Legal business name
FONSECA PHARMACY SERVICES, INC.
Practice address
1045 G St
Reedley, CA 93654-2935
Phone
(559) 637-7000
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juan Fonseca
Title
Pharmacist/Ceo
Phone
(559) 285-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51818 CA Primary

Addresses

Primary practice location

1045 G St
Reedley, CA 93654-2935

Mailing address

1045 G St
Reedley, CA 93654-2935
Phone (559) 637-7000

Other identifiers 1

IdentifierTypeStateIssuer
2148211OtherPK

Other names 1

  • Reedley Pro-Script Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1045 G St
Reedley, CA 93654
Phone (559) 637-7000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1164820197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 G ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542935",
            "telephone_number": "559-637-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 G ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542935",
            "telephone_number": "559-637-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONSECA PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PHARMACIST/CEO",
        "authorized_official_telephone_number": "559-285-6060"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reedley Pro-Script Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reedley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.