Active NPI
Juan Ramon Jimenez, PHARMD
- Pharmacist
- Visalia, CA
National Provider Identifier
1649838582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48063
- Practice address
- 3010 N Demaree St
Visalia, CA 93291-7147 - Phone
- (559) 734-5861
- Fax
- (559) 734-5632
- NPI assigned
- Jun 5, 2019
- 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 | 48063 | CA | Primary |
Addresses
Primary practice location
3010 N Demaree St
Visalia, CA 93291-7147
Mailing address
3010 N Demaree St
Visalia, CA 93291-7147
Phone (559) 734-5861
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 |
|---|---|---|---|
| 48063 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3010 N Demaree St
Visalia, CA 93291
Phone (559) 734-5861
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671840000000",
"number": "1649838582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 N DEMAREE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917147",
"telephone_number": "559-734-5861",
"fax_number": "559-734-5632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 N DEMAREE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917147",
"telephone_number": "559-734-5861",
"fax_number": "559-734-5632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JUAN",
"middle_name": "RAMON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-05",
"last_updated": "2022-12-24",
"certification_date": "2022-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.