Northwest Medical Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY40808 Issued in CA

Legal business name

NORTHWEST MEDICAL PHARMACY

Doing business as

DBA:Northwest Medical Pharmacy

Practice address

7355 N Palm Ave
Suite 100
Fresno, CA 93711-5770

Phone

(559) 271-6370

Fax

(559) 271-6371

NPI assigned

Oct 5, 2006

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David A Wilcox, R.PH

Title

President/Owner

Phone

(559) 271-6370

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DBA:Northwest Medical Pharmacy Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1801982798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 N PALM AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115770",
            "telephone_number": "559-271-6370",
            "fax_number": "559-271-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N PALM AVE",
            "address_2": "SUITE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115770",
            "telephone_number": "559-271-6370",
            "fax_number": "559-271-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "559-271-6370",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY40808",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY40808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA408080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0514390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA:Northwest Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tom Northey, P.T.
• Northridge Group LLC
• Ronald Joseph Northrop, DDS MD
• Jessica Marie Northrup
• Northvale Solutions LLC
• Northwest Optometry Associates, Inc.
• Northwest Physicians Medical Group
• Northwest Surgical Development of Fresno LLC (Athenix Body Sculpting Institute)
• Daniel Proctor Norton
• Matthew Kelly Norton, D.C.

• Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.