Active NPI
PA Xiong, PHARMD
- Pharmacist
- Clovis, CA
National Provider Identifier
1275257339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85723
- Practice address
- 1794 Ashlan Ave
Clovis, CA 93611-5190 - Phone
- (559) 294-6600
- Fax
- (559) 294-6607
- NPI assigned
- Oct 3, 2022
- Last updated
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85723 | CA | Primary |
Addresses
Primary practice location
1794 Ashlan Ave
Clovis, CA 93611-5190
Mailing address
1794 Ashlan Ave
Clovis, CA 93611-5190
Phone (559) 294-6600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85723 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California, LLC | Current | Accepting new patients |
Locations
1794 Ashlan Ave
Clovis, CA 93611
Phone (559) 294-6600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1275257339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1794 ASHLAN AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936115190",
"telephone_number": "559-294-6600",
"fax_number": "559-294-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1794 ASHLAN AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936115190",
"telephone_number": "559-294-6600",
"fax_number": "559-294-6607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "PA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.