Active NPI
Fonseca Pharmacy Services, Inc.
- Community/Retail Pharmacy
- Reedley, CA
National Provider Identifier
1164820197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 51818
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148211 | Other | PK |
Other names 1
- Reedley Pro-Script Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.