GREATER FRESNO DEVELOPMENT CORP. (NPI# 1154490878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154490878 |
| Entity Type | Organization |
| Organization Name | GREATER FRESNO DEVELOPMENT CORP. |
| Other Organization Name | VISTA PHARMACY |
| Practice Address |
4233 E Tulare St Fresno CA 93702-3036 |
| Practice Telephone | 5592553071 |
| Practice Fax Number | 5592555058 |
| Mailing Telephone | 5592553071 |
| Mailing Fax Number | 5592555058 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES MICHAEL WINTON (VP PHARMACIST) |
| Authorized Official Telephone | 5592553071 |
| Authorized Official Credential | RPH PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY13036 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA130360 | 05 |
| Other Name | Type Code |
|---|---|
| Vista Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326117052 | Greater Fresno Development Corp. | Durable Medical Equipment & Medical Supplies | 1377 E Herndon Ave, Fresno, CA 93720-3022 | 2006-11-07 |
| Street Address |
4233 E TULARE ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003296708 | James Michael Winton | Pharmacist | 4233 E Tulare St, Fresno, CA 93702-3036 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| 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 |
|---|---|---|---|---|
| 1750927414 | Innovative Rx Inc | Pharmacy | 4917 E Kings Canyon Rd Ste 102, Fresno, CA 93727-3996 | 2019-11-18 |
| 1225693203 | Empire Pharmaceutical Associates, Inc | Pharmacy | 295 W Cromwell Ave Ste 116, Fresno, CA 93711-6167 | 2019-05-06 |
| 1629575550 | Anh Quynh Truong | Pharmacy | 946 E Sussex Way, Fresno, CA 93704-4363 | 2018-04-08 |
| 1568961076 | Careplus Drugs | Pharmacy | 4177 W Shaw Ave Ste 109, Fresno, CA 93722-6221 | 2018-02-10 |
| 1538698667 | The Medicine Chest LLC | Pharmacy | 1300 N Fresno St Ste 200b, Fresno, CA 93703-3845 | 2017-06-12 |
| 1912438227 | Ctx Enterprise | Pharmacy | 4009 N Marks Ave, Fresno, CA 93722-4555 | 2017-03-27 |
| 1225404999 | Mymed Pharmacy Inc | Pharmacy | 7141 N Cedar Ave, Suite 104, Fresno, CA 93720-3327 | 2015-08-18 |
| 1407230675 | Wellplus Pharmacy Inc. | Pharmacy | 3005 W Bullard Ave, Fresno, CA 93711-1609 | 2015-07-16 |
| 1518209162 | Walmart Inc. | Pharmacy | 6855 N Willow Ave, Fresno, CA 93710-5949 | 2013-03-21 |
| 1720373442 | Immediate Care Pharmacy Inc | Pharmacy | 7141 N Cedar Ave Ste 103 & 104, Fresno, CA 93720-3327 | 2011-06-10 |
| Find all providers in FRESNO | ||||
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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.