Organization Active NPI

St Mary S Pharmacy Inc

  • Pharmacy
  • Fresno, CA
National Provider Identifier
1700527785
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ST MARY S PHARMACY INC
Practice address
3150 E Shields Ave Ste 105
Fresno, CA 93726-6901
Phone
(559) 223-9090
Fax
(559) 223-9091
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Dr. Barseg Abanyan, PHARMD
Title
Pharmacist in Charge
Phone
(559) 223-9090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

3150 E Shields Ave Ste 105
Fresno, CA 93726-6901

Mailing address

3150 E Shields Ave Ste 105
Fresno, CA 93726-6901

Other names 1

  • St. Mary's Pharmacy, a Member of the Medicine Shoppe family Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220513002329 CA Part B Supplier - Pharmacy 4880071752 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory
Tax ID family
St Mary S Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1700527785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E SHIELDS AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E SHIELDS AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266901",
            "telephone_number": "559-223-9090",
            "fax_number": "559-223-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "ABANYAN",
        "authorized_official_first_name": "BARSEG",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "559-223-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Pharmacy, a Member of the Medicine Shoppe family",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Mary's Pharmacy, a Member of the Medicine Shoppe family",
            "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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.