Organization Active NPI

Cedar Pharmacy & Medical Supplies Inc

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1811217177
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50262 Issued in CA
Legal business name
CEDAR PHARMACY & MEDICAL SUPPLIES INC
Doing business as
cedar pharmacy and medical supplies inc
Practice address
6767 N Cedar Ave
Fresno, CA 93710-4402
Phone
(559) 437-3700
Fax
(559) 437-3777
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Peter OnwumereNPI 1043530751
Title
Pharmacist
Phone
(559) 437-3700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50262 CA Primary

Addresses

Primary practice location

6767 N Cedar Ave
Fresno, CA 93710-4402

Mailing address

6767 N Cedar Ave
Fresno, CA 93710-4402
Phone (559) 437-3700

Other identifiers 2

IdentifierTypeStateIssuer
5638056OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1811217177MedicaidCA

Other names 1

  • cedar pharmacy and medical supplies inc Doing business as

National Provider Directory

National Provider Directory

Locations

6767 N Cedar Ave
Fresno, CA 93710
Phone (559) 437-3700

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": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1811217177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104402",
            "telephone_number": "559-437-3700",
            "fax_number": "559-437-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104402",
            "telephone_number": "559-437-3700",
            "fax_number": "559-437-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PHARMACY & MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "ONWUMERE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "559-437-3700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5638056",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811217177",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cedar pharmacy and medical supplies inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "cedar pharmacy and medical supplies inc",
            "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 Feb 14, 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.

Verify at the official NPI Registry.