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NPI 1669856621ActiveIndividual· Pharmacist· Clovis, CA

Pharmacist in Clovis, California, licensed in CA and FL, with an NPI issued in July 2015.

Overview

NPI1669856621
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 18, 2015
Last updated in NPPESJul 18, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X69152CA
Pharmacist183500000X39946FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacist providers in Clovis

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