John D Manuele & Banjamin C Leon

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY39863 Issued in CA

Legal business name

JOHN D MANUELE & BANJAMIN C LEON

Practice address

1620 S Court St
Visalia, CA 93277-4962

Phone

(559) 738-8800

Fax

(559) 733-2636

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Ben Leon

Title

Owner

Phone

(559) 738-8800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SOUTH COURT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1184635674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774962",
            "telephone_number": "559-738-8800",
            "fax_number": "559-733-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774962",
            "telephone_number": "559-738-8800",
            "fax_number": "559-733-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D MANUELE & BANJAMIN C LEON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-738-8800"
    },
    "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": "PHY39863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PMA367840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH COURT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Jimenez, FNP
• Rose Ann Abila Jimenez
• Sajid Jimenez, OTA
• Jocelyn P McPherson, DMD, Inc.
• Joel M. Asunto, MD Inc.
• Nancy Gayton Johnsen
• Ann H Johnson, DO
• Anthony Johnson
• Boyd A. Johnson, D.O.
• Chris H Johnson, DDS

• Community/Retail Pharmacy in Visalia, CA
• Providers in Visalia, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.