Organization Active NPI

Visalia Pharmacy Inc

  • Long Term Care Pharmacy
  • Visalia, CA
National Provider Identifier
1740060979
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
VISALIA PHARMACY INC
Practice address
444 NW 3Rd Ave
Visalia, CA 93291-3624
Phone
(559) 667-9292
Fax
(559) 667-9293
NPI assigned
Oct 4, 2023
Organization subpart
Yes
Parent organization
VISALIA PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Hany MansourNPI 1922416874
Title
Ceo , Owner
Phone
(559) 667-9292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

444 NW 3Rd Ave
Visalia, CA 93291-3624

Mailing address

444 NW 3Rd Ave
Visalia, CA 93291-3624
Phone (559) 667-9292

Other names 1

  • Visalia pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Visalia Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Visalia Pharmacy Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1740060979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW 3RD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913624",
            "telephone_number": "559-667-9292",
            "fax_number": "559-667-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NW 3RD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913624",
            "telephone_number": "559-667-9292",
            "fax_number": "559-667-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISALIA PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISALIA PHARMACY INC",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "CEO , OWNER",
        "authorized_official_telephone_number": "559-667-9292"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visalia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 4, 2023; 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.