George DO, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

75602 Issued in CA

Practice address

1524 McHenry Ave Ste 445
Modesto, CA 95350-4573

Phone

(209) 571-1693

NPI assigned

Feb 7, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1255879433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 ALVINA DR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 445",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504573",
            "telephone_number": "209-571-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "GEORGE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Dixon
• Eric Blaine Dixon, DDS MSD
• Richard Dixon
• Serge Djukic, MD
• Dat Thanh DO, M.D.
• Joshua DO
• Manle DO, NP
• Melissa DO
• Mothou DO
• Phuong DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.