Active NPI
Mirjana Plavsic
- Pharmacist
- Fresno, CA
National Provider Identifier
1366847022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70828
- Practice address
- 7535 N Palm Ave
Suite 101
Fresno, CA 93711-5504 - Phone
- (323) 630-3250
- Fax
- (559) 432-2349
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 70828 | CA | Primary |
Addresses
Primary practice location
7535 N Palm Ave
Suite 101
Fresno, CA 93711-5504
Mailing address
2503 E 21St St Apt 110
Signal Hill, CA 90755-6031
Phone (760) 475-8005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70828 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1366847022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 E 21ST ST APT 110",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907556031",
"telephone_number": "760-475-8005",
"fax_number": "562-597-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 N PALM AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115504",
"telephone_number": "323-630-3250",
"fax_number": "559-432-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAVSIC",
"first_name": "MIRJANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70828",
"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 Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.