Active NPI
Garys All-Med Drugs Inc
Doing business as Ivanhoe Medical Supply
- Community/Retail Pharmacy
- Fresno, CA
National Provider Identifier
1629013834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY47370
- Legal business name
- GARYS ALL-MED DRUGS INC
- Doing business as
- Ivanhoe Medical Supply
- Practice address
- 7944 N Maple Ave
Suite 109
Fresno, CA 93720-0289 - Phone
- (559) 323-3998
- Fax
- (559) 323-3981
- NPI assigned
- Jun 19, 2006
- Last updated
- Jul 5, 2019
- 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
- Gary Ohanesian, RPH DBA
- Title
- President
- Phone
- (559) 798-0861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY47370 | CA | Primary |
Addresses
Primary practice location
7944 N Maple Ave
Suite 109
Fresno, CA 93720-0289
Mailing address
7944 N Maple Ave
Suite 109
Fresno, CA 93720-0289
Phone (559) 323-3998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA325180 | Medicaid | CA |
Other names 1
- IVANHOE MEDICAL SUPPLY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930061240 | CA | DME Supplier - Prosthetic Personnel | 9739209016 | Practice locations: Fresno, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ivanhoe Medical Supply | Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
7944 N Maple Ave
Ste 109
Fresno, CA 93720
Phone (559) 323-3998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562284800000",
"number": "1629013834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7944 N MAPLE AVE",
"address_2": "SUITE 109",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200289",
"telephone_number": "559-323-3998",
"fax_number": "559-323-3981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7944 N MAPLE AVE",
"address_2": "SUITE 109",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200289",
"telephone_number": "559-323-3998",
"fax_number": "559-323-3981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARYS ALL-MED DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2019-07-05",
"status": "A",
"authorized_official_last_name": "OHANESIAN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-798-0861",
"authorized_official_credential": "RPH DBA"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY47370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA325180",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IVANHOE MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "IVANHOE MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
- Frances Burns Garwick, NP
- Gary a. Larsen, DDS, Inc.
- Gary D. Zomalt, L. C. S. W., Inc. (3R Counseling & Consulting)
- Gary S. Cannyon Psychological Service Center
- Jacquelyne Marie Gary, LVN
- Dora Eliza Garza-Chacon
- Alexis Ariana Garza-Kjorvestad, LMFT
- Luke Lee Garza-Rey
- Antolin Garza Jr.
- Cassandra Garza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.