Organization Active NPI

Advanced Family Pharmacy Inc

  • Long Term Care Pharmacy
  • Fresno, CA
National Provider Identifier
1831439967
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY 51992 Issued in CA
Legal business name
ADVANCED FAMILY PHARMACY INC
Practice address
5191 N 6TH St
Fresno, CA 93710-7502
Phone
(559) 222-8303
Fax
(559) 222-1082
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Mr. Richard Hall
Title
President/Owner
Phone
(559) 222-8303

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X PHY 51992 CA
Long Term Care Pharmacy 3336L0003X
Long Term Care Pharmacy 3336L0003X PHY 51992 CA Primary

Addresses

Primary practice location

5191 N 6TH St
Fresno, CA 93710-7502

Mailing address

5191 N 6TH St
Fresno, CA 93710-7502
Phone (559) 222-8303

Other identifiers 2

IdentifierTypeStateIssuer
56-46712OtherCANCPDP PROVIDER
PHY 51992OtherCABOARD OF PHARMACY PERMIT

Other names 1

  • ADVANCED FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5191 N 6th St
Fresno, CA 93710
Phone (559) 222-8303

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1831439967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 N 6TH ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107502",
            "telephone_number": "559-222-8303",
            "fax_number": "559-222-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 N 6TH ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107502",
            "telephone_number": "559-222-8303",
            "fax_number": "559-222-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "559-222-8303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY 51992",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY 51992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "56-46712",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 51992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED FAMILY PHARMACY",
            "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 Jun 2, 2015; 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.