Provider Type Icon

FRED PAUL BESIO RPH NPI 1104062801


NPI Information

NPI: 1104062801
Provider Name: FRED PAUL BESIO, RPH
Classification: Pharmacy - 3336C0003X
Entity Type: Individual

Specialization: Community/Retail Pharmacy

Address:
790 S CLOVERDALE BLVD
CLOVERDALE, CA
ZIP 95425
Phone: (707) 894-4414
Get Directions

Fred Paul Besio, RPH is a community/retail pharmacy pharmacy in Cloverdale, CA. The provider is 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. Fred Paul Besio, RPH NPI is 1104062801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

790 S CLOVERDALE BLVD
CLOVERDALE, CA
ZIP 95425-010
Phone: (707) 894-4414
Fax: (707) 894-9379

The enumeration date for this NPI number is 12/30/2008 and was last updated on 3/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistRPH 30988CALIFORNIANo
23336C0003XPharmacyCommunity/Retail PharmacyPHY365300CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA365300MEDICAIDCALIFORNIA
26173610001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.