Active NPI
Chrisjon Ayen Fabian, PHARM.D.
- Pharmacist
- Fresno, CA
National Provider Identifier
1386042414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72093
- Practice address
- 7015 N West Ave
Fresno, CA 93711-0461 - Phone
- (559) 440-1404
- NPI assigned
- Dec 5, 2014
- Sex
- Male
- 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 | 72093 | CA | Primary |
Addresses
Primary practice location
7015 N West Ave
Fresno, CA 93711-0461
Mailing address
12113 Shadow Ridge Way
Northridge, CA 91326-3826
Phone (818) 667-4271
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 |
|---|---|---|---|
| 72093 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Fresno, CA
- NPI 1609881614
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1386042414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12113 SHADOW RIDGE WAY",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913263826",
"telephone_number": "818-667-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 N WEST AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110461",
"telephone_number": "559-440-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABIAN",
"first_name": "CHRISJON",
"middle_name": "AYEN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72093",
"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 5, 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.