Active NPI
Reedley Pharmacy Inc
Doing business as Reedley Pharmacy
- Community/Retail Pharmacy
- Reedley, CA
National Provider Identifier
1932110517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY39821
- Legal business name
- REEDLEY PHARMACY INC
- Doing business as
- Reedley Pharmacy
- Practice address
- 1115 G St
Reedley, CA 93654-3003 - Phone
- (559) 638-6317
- Fax
- (553) 637-1627
- NPI assigned
- Aug 10, 2006
- Last updated
- May 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirow Sasaki
- Title
- President
- Phone
- (556) 630-6317
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY39821 | CA | Primary |
Addresses
Primary practice location
1115 G St
Reedley, CA 93654-3003
Mailing address
PO Box 25846
Fresno, CA 93729-5846
Phone (559) 285-7616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA398210 | Medicaid | CA | |
| 0548012 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- REEDLEY PHARMACY
National Provider Directory
National Provider DirectoryLocations
1115 G St
Reedley, CA 93654
Phone (559) 638-6317
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- San Luis Obispo, CA
- NPI 1033407671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274054400000",
"number": "1932110517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25846",
"city": "FRESNO",
"state": "CA",
"postal_code": "937295846",
"telephone_number": "559-285-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 G ST",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936543003",
"telephone_number": "559-638-6317",
"fax_number": "553-637-1627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REEDLEY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2010-05-17",
"status": "A",
"authorized_official_last_name": "SASAKI",
"authorized_official_first_name": "SHIROW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "556-630-6317"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY39821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA398210",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0548012",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REEDLEY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reedley, CA
- Reedley Community Hospital (Adventist Health Reedley - Reedley)
- Reedley Community Hospital (Adventist Health Community Care-Reedley Women's Health)
- Reedley Community Pharmacy
- Reedley Medical Supply
- Reedley Medical Supply, Inc.
- Reedley Physical Therapy Inc
- Reedley Skilled Care LLC
- Reedley Wellness Center
- Aaron Reimer, DDS
- Horacio Renteria, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.