Paul Serrano Bolanos, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

45794 Issued in CA

Practice address

290 N Wayte LN FL 1
Fresno, CA 93701-2124

Phone

(559) 459-5044

Fax

(559) 459-6110

NPI assigned

Sep 2, 2021

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1871261933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 E MONO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275575",
            "telephone_number": "559-241-4490",
            "fax_number": "559-459-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N WAYTE LN FL 1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012124",
            "telephone_number": "559-459-5044",
            "fax_number": "559-459-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "PAUL",
        "middle_name": "SERRANO",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre David Boisrond
• Marilyn Bokemeier, RN
• Alessa Bolaines
• Damaris Mizuki Bolanos Felix
• Jacqueline Teresa Bolanos Rivas
• Tamara Bolden
• Sharadyn Lynae Bolding, MS
• Edith Saavedra Boldt, N.P.
• Samaria Nechell Boles, RBT
• Bolkiki Medical Supplies and Equipment, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.