Omar Hernandez Panuco, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

83207 Issued in CA

Practice address

7300 N Fresno St
Fresno, CA 93720-2942

Phone

(559) 448-4521

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1306452776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 TUOLUMNE ST",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482440",
            "telephone_number": "559-419-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202942",
            "telephone_number": "559-448-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PANUCO",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Hernandez Galindo
• Karen Guadalupe Hernandez Hernandez
• Marlene Hernandez Ibarra, BA
• Grecia Angelica Hernandez Mejia, LPT.
• Maria Isabel Hernandez Moreno, CFY-SLP
• Janeth Hernandez Parra
• Ariana Hernandez Portillo
• Gimena Valeria Hernandez Quinteros
• Amber Hernandez Ramirez
• Diana Beatriz Hernandez Reyes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.