Sorawan Prasertthanabut, PHARMD,RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

89573 Issued in CA

Practice address

728 W Shaw Ave
Fresno, CA 93704-2301

Phone

(559) 226-1485

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

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, Registered Pharmacist

Practice roles

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.

• Longs Drug Store California LLC

  dba Longs Drugs #10987

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1336980127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042301",
            "telephone_number": "559-226-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042301",
            "telephone_number": "559-226-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASERTTHANABUT",
        "first_name": "SORAWAN",
        "credential": "PHARMD,RPH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prahalad B Jajodia MD Inc (Digestive and Liver Disease Medical Center)
• Praise Transitional Housing LLC (Lashun Smith)
• Devang Prajapati
• Sonia Pranger, LCSW
• Anita Margaret Prasad-Aguilera, LCSW
• Dorothy Prater
• Carson Kuryla Prati
• Blanche Pratt
• Marcelle Pratt, PSYD
• Praveen Buddiga MD, Inc. (Family Allergy Asthma Clinic)

• 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 Jun 5, 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.