Proveri Fresno LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PROVERI FRESNO LLC

Doing business as

Proveri Fresno Pharmacy

Practice address

2350 W Shaw Ave Ste 126
Fresno, CA 93711-3400

Phone

(209) 294-8285

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Tiger SaeleeNPI 1528847530

Title

Managing Member

Phone

(209) 294-8285

Specialties & licenses 1

Addresses

Other names 1

• Proveri Fresno Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiger Fong Saelee

  • Geriatric Pharmacist
  • Fresno, CA
  • NPI 1528847530

  Long Term Care Pharmacy

  NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1952109084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 126",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113400",
            "telephone_number": "209-294-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 126",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113400",
            "telephone_number": "209-294-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVERI FRESNO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "SAELEE",
        "authorized_official_first_name": "TIGER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "209-294-8285"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proveri Fresno Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proveri Fresno Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Benjamin James Pruett, D.O.
• Bradley Pruett, DC
• Shawna Pruitt

• Long Term Care Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.