Edward William Ildefonso Pamanian, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

89443 Issued in CA

Practice address

11300 Ming Ave
Bakersfield, CA 93311-1300

Phone

(661) 664-0187

NPI assigned

Jun 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edward Ildefonso Pamanian Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garfield Beach CVS LLC

  • Pharmacy
  • Bakersfield, CA
  • NPI 1427326479
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1245072685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21910 ROSCOE BLVD APT 210",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043965",
            "telephone_number": "818-271-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111300",
            "telephone_number": "661-664-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMANIAN",
        "first_name": "EDWARD WILLIAM",
        "middle_name": "ILDEFONSO",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "PAMANIAN",
            "middle_name": "ILDEFONSO",
            "credential": "PHARM.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria G Palomares Simon, ASW
• Christina Palomares
• Patricia Palomino
• Alejandro Palos
• Sofia Palos, LVN
• Panama-Buena Vista Union SD
• Jay Panchal, PHARMD
• Aishwarya Pande
• Sharandeep Kaur Pandher
• Pandura Corporation

• Pharmacist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.