Mark W Facchini, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

40252 Issued in CA

Practice address

5044 N Barton Ave
Mailstop HC81, Attn: Pharmacy
Fresno, CA 93740-0001

Phone

(559) 278-6761

Fax

(559) 278-6080

NPI assigned

May 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Student Health Service Pharmacy

  • Clinic Pharmacy
  • Fresno, CA
  • NPI 1093922957
  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1861848475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 N BARTON AVE",
            "address_2": "MAILSTOP HC81, ATTN: PHARMACY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6761",
            "fax_number": "559-278-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 N BARTON AVE",
            "address_2": "MAILSTOP HC81, ATTN: PHARMACY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6761",
            "fax_number": "559-278-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCHINI",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "40252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantel Fabian
• Chrisjon Ayen Fabian, PHARM.D.
• Brian Fabrie, PHARMD
• Gina Fabrizio
• Matthew Fabrizio
• Dawn Michelle Faccinto
• Giselle Josephine Facemire
• Clarissa Facio
• Olga Lissete Facundo
• Linnea P. Faeth, NP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.