Active NPI
Judith Harlyn St. Louis, R PH
- Pharmacist
- Fresno, CA
National Provider Identifier
1386679041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH24334
- Practice address
- 4160 E Clinton Ave
Fresno, CA 93703-2520 - Phone
- (559) 266-0601
- Fax
- (559) 266-1012
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 8, 2007
- 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 | RPH24334 | CA | Primary |
Addresses
Primary practice location
4160 E Clinton Ave
Fresno, CA 93703-2520
Mailing address
5384 N Palm Ave
Fresno, CA 93704-2207
Phone (559) 439-4560
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH24334 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Drugs | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Fresno, CA
- NPI 1184659963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386679041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5384 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042207",
"telephone_number": "559-439-4560",
"fax_number": "559-266-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 E CLINTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032520",
"telephone_number": "559-266-0601",
"fax_number": "559-266-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. LOUIS",
"first_name": "JUDITH",
"middle_name": "HARLYN",
"name_prefix": "Mrs.",
"credential": "R PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH24334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Jayaram Srivatsan, MD
- Radina A. Sroun, AS
- St Mary S Pharmacy Inc
- St Mary S Pharmacy Inc (St. Mary's Pharmacy, a Member of the Medicine Shoppe family)
- Hollie St. Claire, MD
- St. Mary's Hospice Services, Inc.
- St. Peregrine Home Health & Palliative Care LLC
- Raelynn St.Clair
- Michelle Marie St.Denis
- St.Georgefamilydental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.