Organization Active NPI

Garys All-Med Drugs Inc

Doing business as Ivanhoe Medical Supply

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1629013834
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47370 Issued in CA
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA325180MedicaidCA

Other names 1

  • IVANHOE MEDICAL SUPPLY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061240 CA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 9739209016 Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Ivanhoe Medical Supply7944 N Maple Ave, Fresno, CA 93720-0291(559) 323-3998 Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.