Organization Active NPI

Cedar Drugs

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1184659963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY34598 Issued in CA
Legal business name
CEDAR DRUGS
Practice address
4160 E Clinton Ave
Fresno, CA 93703-2520
Phone
(559) 266-0601
Fax
(559) 266-1012
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Lee St. Louis, RPH
Title
Owner
Phone
(559) 266-0601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY34598 CA Primary

Addresses

Primary practice location

4160 E Clinton Ave
Fresno, CA 93703-2520

Mailing address

4160 E Clinton Ave
Fresno, CA 93703-2520
Phone (559) 266-0601

Other identifiers 1

IdentifierTypeStateIssuer
PHA345980MedicaidCA

National Provider Directory

National Provider Directory

Locations

4160 E Clinton Ave
Fresno, CA 93703
Phone (559) 266-0601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184659963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032520",
            "telephone_number": "559-266-0601",
            "fax_number": "559-266-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032520",
            "telephone_number": "559-266-0601",
            "fax_number": "559-266-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-266-0601",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA345980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.

Verify at the official NPI Registry.