Active NPI
Nathaniel Cordeiro, PHARMD
- Pharmacist
- Visalia, CA
National Provider Identifier
1518375633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58062
- Practice address
- 1320 N Demaree St
Visalia, CA 93291-7714 - Phone
- (559) 429-3267
- Fax
- (559) 429-3267
- NPI assigned
- Aug 1, 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 | 58062 | CA | Primary |
Addresses
Primary practice location
1320 N Demaree St
Visalia, CA 93291-7714
Mailing address
1320 N Demaree St
Visalia, CA 93291-7714
Phone (559) 429-3267
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 |
|---|---|---|---|
| 58062 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1518375633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N DEMAREE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917714",
"telephone_number": "559-429-3267",
"fax_number": "559-429-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N DEMAREE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917714",
"telephone_number": "559-429-3267",
"fax_number": "559-429-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDEIRO",
"first_name": "NATHANIEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-01",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
- Colton Larry Coombs, DO
- David Robert Cooper, M.D.
- Saige Nicole Cooper
- Deanna J Cope
- Heidi Kristel Corbett
- Jessica A Cordero
- Core Physical Therapy by Bryan Pacillas PC (CORE Physical Therapy)
- Carolina Cornejo-Espinoza, LCSW, PPS
- Cornerstone Residential Living Goshen
- Cornerstone Residential Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.