Thad Arakaki, PHARMD
Individual provider Active NPI Pharmacist · Clovis, CA
NPI 1477087948 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1477087948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 70074 (CA)
- Practice address
- 1794 Ashlan Ave
Clovis, CA 93611-5190 - Phone
- (559) 294-6600
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70074 | CA | MD | Pharmacist |
| 3641 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past |
Accepting new patients | |
| Longs Drug Stores California, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70074 | CA | Yes |
| Pharmacist | 183500000X | 3641 | HI |
Addresses
Primary practice location
1794 Ashlan Ave
Clovis, CA 93611-5190
Mailing address
PO Box 25254
Fresno, CA 93729-5254
Other practice location 1
1405 Herndon Ave
Clovis, CA 93611-0504
Phone (559) 322-0150
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.