Provider Demographics
NPI:1467544478
Name:BARR PHARMACY INC
Entity Type:Organization
Organization Name:BARR PHARMACY INC
Other - Org Name:BARR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OHASHI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:559-875-2518
Mailing Address - Street 1:10641 KEATS AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8803
Mailing Address - Country:US
Mailing Address - Phone:559-875-2518
Mailing Address - Fax:
Practice Address - Street 1:1825 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-3705
Practice Address - Country:US
Practice Address - Phone:559-875-2517
Practice Address - Fax:559-875-3718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
CA514703336C0003X
CAPHY 514703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141706OtherPK
CAFB4018241OtherNEW DEA #
CA1467544478OtherNPI
CA1467544478OtherABCOPP ACCREDITED, ACCT #4257
CA0293620001OtherPTAN #
CA0546943OtherNABP #
CAPHY 51470OtherNEW BOARD PHARMACY LICENSE
CA6875920001OtherNEW PTAN NUMBER
CA1922359785OtherNEW NPI
CA1467544478Medicaid
CA6875920001Medicare NSC