Individual provider Active NPI

Tom Joe Maez, PHARM.D.

  • Pharmacist
  • Fresno, CA
National Provider Identifier
1205199585
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40006 Issued in CA
Practice address
7535 N Palm Ave
101
Fresno, CA 93711-5504
Phone
(559) 432-9800
Fax
(559) 432-2349
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40006 CA Primary

Addresses

Primary practice location

7535 N Palm Ave
101
Fresno, CA 93711-5504

Mailing address

7535 N Palm Ave
101
Fresno, CA 93711-5504
Phone (559) 432-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1205199585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 N PALM AVE",
            "address_2": "101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115504",
            "telephone_number": "559-432-9800",
            "fax_number": "559-432-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 N PALM AVE",
            "address_2": "101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115504",
            "telephone_number": "559-432-9800",
            "fax_number": "559-432-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEZ",
        "first_name": "TOM",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40006",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 2012; 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.