Active NPI
Gerald E Flanders, PHARMACIST
- Pharmacist
- Atwater, CA
National Provider Identifier
1710949169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA28197
- Practice address
- 1870 Bellevue Rd
Atwater, CA 95301-2668 - Phone
- (209) 357-2956
- Fax
- (209) 357-8172
- NPI assigned
- Apr 3, 2006
- 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 | PHA28197 | CA | Primary |
Addresses
Primary practice location
1870 Bellevue Rd
Atwater, CA 95301-2668
Mailing address
1902 Saratoga CT
Merced, CA 95340-3316
Phone (209) 722-9122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA28197 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710949169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 SARATOGA CT",
"city": "MERCED",
"state": "CA",
"postal_code": "953403316",
"telephone_number": "209-722-9122",
"fax_number": "209-383-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 BELLEVUE RD",
"city": "ATWATER",
"state": "CA",
"postal_code": "953012668",
"telephone_number": "209-357-2956",
"fax_number": "209-357-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANDERS",
"first_name": "GERALD",
"middle_name": "E",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "PHA28197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.