Active NPI
Anthony Garofalo
- Pharmacist
- Clovis, CA
National Provider Identifier
1982465225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88942
- Practice address
- 1405 Herndon Ave
Clovis, CA 93611-0504 - Phone
- (559) 322-1574
- NPI assigned
- Jan 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 88942 | CA | Primary |
Addresses
Primary practice location
1405 Herndon Ave
Clovis, CA 93611-0504
Mailing address
6054 E Bellaire Way
Fresno, CA 93727-7979
Phone (559) 907-0518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88942 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Current | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Locations
1405 Herndon Ave
Clovis, CA 93611
Phone (559) 322-0150
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1982465225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6054 E BELLAIRE WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937277979",
"telephone_number": "559-907-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936110504",
"telephone_number": "559-322-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROFALO",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.