Active NPI
United Pharmacy
- Pharmacy
- Dinuba, CA
National Provider Identifier
1255334702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY40825
- Legal business name
- UNITED PHARMACY
- Practice address
- 1625 E El Monte Way
Dinuba, CA 93618-1832 - Phone
- (559) 591-6400
- Fax
- (559) 591-8439
- NPI assigned
- May 27, 2005
- 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
- Edward J Derderian, PHARM.D.; R.PH.
- Title
- Owner/Pharmacist
- Phone
- (559) 591-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY40825 | CA | Primary |
Addresses
Primary practice location
1625 E El Monte Way
Dinuba, CA 93618-1832
Mailing address
1625 E El Monte Way
Dinuba, CA 93618-1832
Phone (559) 591-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA408250 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- United Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Dinuba, CA
- NPI 1326161431
Locations
1625 E El Monte Way
Dinuba, CA 93618
Phone (559) 591-6400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dinuba, CA
- NPI 1609931807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255334702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 E EL MONTE WAY",
"city": "DINUBA",
"state": "CA",
"postal_code": "936181832",
"telephone_number": "559-591-6400",
"fax_number": "559-591-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 E EL MONTE WAY",
"city": "DINUBA",
"state": "CA",
"postal_code": "936181832",
"telephone_number": "559-591-6400",
"fax_number": "559-591-8439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DERDERIAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "559-591-6400",
"authorized_official_credential": "PHARM.D.; R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY40825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA408250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dinuba, CA
- Kristine Marie Turner, P.T.
- Turning Point of Central California, Inc. (North County Adult Services)
- Turning Point of Central California, Inc. (Dinuba Children's Services)
- Bo Ram Um, DDS
- United Health Centers of the San Joaquin Valley
- United Pharmacy
- Maria Guadalupe Uribe Medina
- Deisi Daniela Urrutia, LMFT
- Daniel Valdez
- Genesis Valle Carreon, PPS
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.