Active NPI
Ryan James Abundo, PHARMD
- Pharmacist
- Clovis, CA
National Provider Identifier
1639890197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79432
- Practice address
- 2755 Herndon Ave
Clovis, CA 93611-6800 - Phone
- (559) 324-4000
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- 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 | 79432 | CA | Primary |
Addresses
Primary practice location
2755 Herndon Ave
Clovis, CA 93611-6800
Mailing address
1314 E Goshen Ave
Fresno, CA 93720-2673
Phone (559) 577-8581
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 |
|---|---|---|---|
| 79432 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1639890197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 E GOSHEN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202673",
"telephone_number": "559-577-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116800",
"telephone_number": "559-324-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUNDO",
"first_name": "RYAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.