VIRGIL BALDIVINO CUBACHA (NPI# 1942794110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942794110 |
| Entity Type | Individual |
| Full Name | VIRGIL BALDIVINO CUBACHA |
| Practice Address |
3680 W Shaw Ave Fresno CA 93711-3231 |
| Mailing Address |
1865 Herndon Ave # K55 Clovis CA 93611-6163 |
| Practice Telephone | 5592778191 |
| Mailing Telephone | 5627603578 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75024 | CA | Pharmacy Service Providers |
| Street Address |
3680 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194801399 | Walmart Stores, Inc. | Technician/Technologist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2006-10-31 |
| 1215464284 | Ivan Ng | Pharmacist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2017-05-21 |
| 1821447590 | Dung Kim Le | Pharmacist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2016-06-03 |
| 1962758748 | Hong Gia Luu | Optometrist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2012-07-30 |
| 1356521546 | Firstsight Vision Services, Inc. | Optometrist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2007-11-06 |
| 1194845206 | Inderjit K Dhaliwal | Optometrist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| 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 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on VIRGIL BALDIVINO CUBACHA.
| 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.