Porterville Express Specialty Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PORTERVILLE EXPRESS SPECIALTY PHARMACY, LLC

Practice address

301 E Olive Ave
Porterville, CA 93257-4871

Phone

(559) 364-3033

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Anas Baytamouny

Title

Cmo

Phone

(559) 364-3033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1386212629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E OLIVE AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932574871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E OLIVE AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932574871",
            "telephone_number": "559-364-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERVILLE EXPRESS SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "BAYTAMOUNY",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "559-364-3033"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Polster, OD
• Sherlyn Ricablanca Porter, PPS., LCSW
• Porterville Adult Day Health Care
• Porterville Community Physicians Inc
• Porterville Convalescent, Inc. (Porterville Convalescent Hospital)
• Porterville Express Specialty Pharmacy, LLC (Express Specialty Pharmacy)
• Porterville Halfway House (The Paar Center)
• Porterville Oncology Associates, Inc.
• Porterville Pharmacy Inc
• Porterville Pharmacy Inc

• Long Term Care Pharmacy in Porterville, CA
• Providers in Porterville, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.