Dr Tasi Nightingale Fomukong, PHARM D - Pharmacist in Los Banos, CA

Dr Tasi Nightingale Fomukong, PHARM D is a Pharmacist based in Los Banos, California. Dr Tasi Nightingale Fomukong is licensed to practice in California (license number 63335) and his current practice location is 1317 E Pacheco Blvd, Los Banos, California. He can be reached at his office (for appointments etc.) via phone at (209) 826-3036.

NPI number for Dr Tasi Nightingale Fomukong is 1578852802 and his current mailing address is 1317 E Pacheco Blvd, Los Banos, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578852802.

Contact Information

Dr Tasi Nightingale Fomukong, PHARM D
1317 E Pacheco Blvd,
Los Banos, CA 93635-4335
(209) 826-3036
Not Available

Healthcare Provider's Profile

Full NameDr Tasi Nightingale Fomukong
GenderMale
SpecialityPharmacist
Location1317 E Pacheco Blvd, Los Banos, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578852802
  • Provider Enumeration Date: 04/07/2011
  • Last Update Date: 04/07/2011

Medical Identifiers

Medical identifiers for Dr Tasi Nightingale Fomukong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578852802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 63335 (California)Primary
183500000XPharmacist 17616 (Nevada)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tasi Nightingale Fomukong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tasi Nightingale Fomukong, PHARM D
1317 E Pacheco Blvd,
Los Banos, CA 93635-4335

Ph: () -
Dr Tasi Nightingale Fomukong, PHARM D
1317 E Pacheco Blvd,
Los Banos, CA 93635-4335

Ph: (209) 826-3036

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› Verified 2 days ago


Pharmacist in Los Banos, CA

Dr. Madeleine Udonta, PHARM. D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1575 W Pacheco Blvd, Los Banos, CA 93635
Phone: 209-826-9653    
Brandon Arthur Emirkhanian, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1575 W Pacheco Blvd, Los Banos, CA 93635
Phone: 209-826-9653    
Mr. Anto George,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1317 E Pacheco Blvd, Los Banos, CA 93635
Phone: 209-826-3036    Fax: 209-827-9752
Thu Nguyen, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1317 E Pacheco Blvd, Los Banos, CA 93635
Phone: 209-826-3036    
Klement Yousefi Benyamin,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1405 W Pacheco Blvd, Los Banos, CA 93635
Phone: 209-827-2080    
David Chang,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1360 E Pacheco Blvd, Los Banos, CA 93635
Phone: 209-826-2796    
Dr. Rajwant Kaur Dosanjh, PHARM.D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1360 E Pacheco Blvd, Los Banos, CA 93635
Phone: 209-826-2796    Fax: 209-826-3703

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