Individual provider Active NPI

Emil J Deprima, PHARM D

  • Pharmacist
  • Fresno, CA
National Provider Identifier
1649254533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24502 Issued in CA
Practice address
7075 N Marks Ave
Fresno, CA 93711-0261
Phone
(559) 439-1211
Fax
(559) 439-3520
NPI assigned
Dec 3, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24502 CA Primary

Addresses

Primary practice location

7075 N Marks Ave
Fresno, CA 93711-0261

Mailing address

2017 W Fairmont Ave
Fresno, CA 93705-0207
Phone (559) 222-9897

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
24502CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649254533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W FAIRMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050207",
            "telephone_number": "559-222-9897",
            "fax_number": "559-435-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110261",
            "telephone_number": "559-439-1211",
            "fax_number": "559-439-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPRIMA",
        "first_name": "EMIL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "24502",
            "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 Jul 8, 2007; 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.