Individual provider Active NPI

Thomas Ryan Asido, PHARMD

  • Pharmacist
  • Fresno, CA
National Provider Identifier
1609226653
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70104 Issued in CA
Practice address
4910 E Ashlan Ave
Suite 111
Fresno, CA 93726-3020
Phone
(310) 408-8087
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70104 CA Primary

Addresses

Primary practice location

4910 E Ashlan Ave
Suite 111
Fresno, CA 93726-3020

Mailing address

8680 N Glenn Ave
Apt 106
Fresno, CA 93711-6936
Phone (310) 408-8087

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

LicenseStateTypeSpecialty
70104CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1609226653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 N GLENN AVE",
            "address_2": "APT 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116936",
            "telephone_number": "310-408-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E ASHLAN AVE",
            "address_2": "SUITE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263020",
            "telephone_number": "310-408-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIDO",
        "first_name": "THOMAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.