FRED PAUL BESIO (NPI# 1104062801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104062801 |
| Entity Type | Individual |
| Full Name | FRED PAUL BESIO |
| Credential | RPH |
| Practice Address |
790 S Cloverdale Blvd Cloverdale CA 95425-4010 |
| Practice Telephone | 7078944414 |
| Practice Fax Number | 7078949379 |
| Mailing Telephone | 7078944414 |
| Mailing Fax Number | 7078949379 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2009-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH 30988 | CA | Pharmacy Service Providers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY365300 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA365300 | 05 |
| Street Address |
790 S CLOVERDALE BLVD |
| City | CLOVERDALE |
| State | CA |
| Zip Code | 95425-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386755940 | Fred P Besio Cloverdale Pharmacy | Pharmacy | 790 S Cloverdale Blvd, Cloverdale, CA 95425-4010 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353148 | Beverly D. Westenberg | Technician | 20 King Ridge Hts., Cloverdale, CA 95425 | 2019-08-30 |
| 1043768807 | Sacred Space Healing & Retreat Center International, Inc. | Substance Abuse Rehabilitation Facility | 627 Cherry Creek Rd., Box 311, Cloverdale, CA 95425 | 2016-09-21 |
| 1952637027 | County of Sonoma | Clinic/Center | 140 S Cloverdale Blvd, Cloverdale, CA 95425 | 2009-10-26 |
| 1144318213 | Mark William Garwah | Chiropractor | 142 S Cloverdale Blvd, Cloverdale, CA 95425 | 2006-10-11 |
| 1487605747 | Kevin Joseph Garvin | Dentist | 118 East 2nd Street, Cloverdale, CA 95425 | 2006-05-12 |
| 1508833153 | Cheri Lynn Heffel | Nurse Practitioner | 240 N Cloverdale Blvd, Copper Towers Family Medical Center, Cloverdale, CA 95425 | 2006-03-02 |
| 1356452262 | Ronald D Schuster | Chiropractor | 240 N Cloverdale Blvd, Suite E, Cloverdale, CA 95425 | 2006-08-31 |
| 1184731234 | Richard A Nicholls | Dentist | 114 N Main St, Cloverdale, CA 95425 | 2006-08-24 |
| 1437636701 | Audrey Duong | Dentist | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2018-07-19 |
| 1699106781 | Coppertower Family Medical Center | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-11-27 |
| Find all providers in zip 95425 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386755940 | Fred P Besio Cloverdale Pharmacy | Pharmacy | 790 S Cloverdale Blvd, Cloverdale, CA 95425-4010 | 2006-08-31 |
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|---|---|---|---|---|
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| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | CLOVERDALE |
| Zip Code | 95425 |
Please comment or provide details below to improve the information on FRED PAUL BESIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.