Active NPI
Alfred Michael Fagundes, RPH
- Pharmacist
- Crescent City, CA
National Provider Identifier
1568429736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24038
- Practice address
- 475 M St
Crescent City, CA 95531-4129 - Phone
- (707) 465-3663
- Fax
- (707) 464-8533
- NPI assigned
- Apr 28, 2006
- Last updated
- Jul 13, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24038 | CA | Primary |
| Pharmacist | 183500000X | 9086 | OR | |
| Pharmacist | 183500000X | 2111 | HI |
Addresses
Primary practice location
475 M St
Crescent City, CA 95531-4129
Mailing address
125 Pine View CT
P.O. Box 2123
Crescent City, CA 95531-9167
Phone (707) 464-8449
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 |
|---|---|---|---|
| 9086 | OR | MD | Pharmacist |
| 2111 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway 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": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568429736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PINE VIEW CT",
"address_2": "P.O. BOX 2123",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955319167",
"telephone_number": "707-464-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 M ST",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955314129",
"telephone_number": "707-465-3663",
"fax_number": "707-464-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGUNDES",
"first_name": "ALFRED",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "24038",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "9086",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "2111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.