Individual provider Active NPI

Tina Ani Bgdoian

  • Pharmacist
  • Fresno, CA
National Provider Identifier
1356988570
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
81306 Issued in CA
Practice address
2020 E Copper Ave
Fresno, CA 93730-5402
Phone
(818) 454-3036
NPI assigned
Dec 6, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 81306 CA Primary

Addresses

Primary practice location

2020 E Copper Ave
Fresno, CA 93730-5402

Mailing address

8082 N Maroa Ave Apt 201
Fresno, CA 93711-6124
Phone (818) 454-3036

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

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1356988570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8082 N MAROA AVE APT 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116124",
            "telephone_number": "818-454-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E COPPER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937305402",
            "telephone_number": "818-454-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BGDOIAN",
        "first_name": "TINA",
        "middle_name": "ANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.