Active NPI
Community Medical Arts Pharmacy, Inc
- Pharmacist
- Fresno, CA
National Provider Identifier
1437152147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA182880
- Legal business name
- COMMUNITY MEDICAL ARTS PHARMACY, INC
- Practice address
- 2041 Divisadero St
Fresno, CA 93701-2013 - Phone
- (559) 485-2323
- Fax
- (559) 485-8554
- NPI assigned
- May 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elmer G Koch, PHARMACIST
- Title
- President/Chief Pharmacy
- Phone
- (559) 485-2323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA182880 | CA | Primary |
Addresses
Primary practice location
2041 Divisadero St
Fresno, CA 93701-2013
Mailing address
2041 Divisadero St
Fresno, CA 93701-2013
Phone (559) 485-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA182880 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437152147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012013",
"telephone_number": "559-485-2323",
"fax_number": "559-485-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012013",
"telephone_number": "559-485-2323",
"fax_number": "559-485-8554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL ARTS PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "ELMER",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT/CHIEF PHARMACY",
"authorized_official_telephone_number": "559-485-2323",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHA182880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA182880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Community Health Partners
- Community Hospitalist Medical Group
- Community Hospitalist Medical Group Inc.
- Community Living Center - Fresno
- Community Med Trans, Inc
- Community Medical Providers Medical Group Inc
- Community Medical Providers Medical Group Inc
- Community Neurology & Pulmonary Medical Group Inc
- Community Oncology Associates Medical Group, Inc.
- Community Perinatology Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.