DR. MARY C GHAFFARI (NPI# 1972784528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972784528 |
| Entity Type | Individual |
| Full Name | DR. MARY C GHAFFARI |
| Credential | PHARM.D. |
| Practice Address |
2823 Fresno Street Crmc Pharmacy Fresno CA 93721-1324 |
| Mailing Address |
891 N Homsy Ave Clovis CA 93611-7152 |
| Practice Telephone | 5594593788 |
| Mailing Telephone | 5592981135 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2007-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 54294 | CA | Pharmacy Service Providers |
| Street Address |
2823 FRESNO STREET CRMC PHARMACY |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538271374 | Bridget Nester Petrillo | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2006-08-31 |
| 1841840931 | Kelsea Chun | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Anesthesia Department, Fresno, CA 93721 | 2019-09-19 |
| 1184050882 | Kamala Basaula | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-09-25 |
| 1881931897 | Jay Isaac Tipton | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-01-10 |
| 1376891812 | Harlan M Husted | Pharmacist | 2823 Fresno Street, Community Regional Med Ctr - Inpatient Pharmacy, Fresno, CA 93715 | 2012-08-15 |
| 1275891368 | Ann W Vu | Pharmacist | 2823 Fresno Street, Fresno, CA 93721 | 2012-04-26 |
| 1548537780 | Ravinder Singh | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-11-16 |
| 1306120779 | Kevin Immarri Hickman | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-10-04 |
| 1821275942 | Karissa Anne Bouchie | Dietitian, Registered | 2823 Fresno Street, Community Regional Medical Center, Fresno, CA 93701 | 2008-01-31 |
| 1811191687 | Floyd Bodden | Physician Assistant | 2823 Fresno Street, Fresno, CA 93721-1324 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163174 | Michael Krage | Pharmacist | 1302 Fulton St, Fresno, CA 93721-1608 | 2020-01-08 |
| 1417595711 | Alexis Mozelle Lolita Woods | Pharmacist | 5348 E Heaton Ave, Fresno, CA 93727-5252 | 2019-12-17 |
| 1154966588 | Vy T Tran | Pharmacist | 261 E Braddock Dr, Fresno, CA 93720-0826 | 2019-11-08 |
| 1831750413 | Nancy Lam | Pharmacist | 7112 N Fresno St Ste 460, Fresno, CA 93720-2947 | 2019-06-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1306409792 | Golnoosh Dalili | Pharmacist | 1349 E Via Roma Dr, Fresno, CA 93730-8800 | 2019-04-21 |
| 1104489814 | Jaime Bautista Bautista | Pharmacist | 7762 N Princess Ave, Fresno, CA 93722-2231 | 2019-04-18 |
| 1801359286 | Madlen Rizkallah | Pharmacist | 7090 N Refinement Dr, Fresno, CA 93711-0291 | 2019-04-11 |
| 1346714375 | Maha Mhaissen | Pharmacist | 2272 E Prestwick Ave, Fresno, CA 93730-5958 | 2019-01-12 |
| 1851867386 | Cuihong Zhai Leung | Pharmacist | 525 E Mariners Cir, Fresno, CA 93730-0848 | 2018-10-23 |
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| 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.