Provider Demographics
NPI:1184985467
Name:PATON, ANTHONY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:PATON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:PATON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2220 S BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1348
Mailing Address - Country:US
Mailing Address - Phone:805-349-1192
Mailing Address - Fax:
Practice Address - Street 1:2220 S BRADLEY RD
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1348
Practice Address - Country:US
Practice Address - Phone:805-349-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00108521835N1003X
HIPH27351835P0018X
TX459401835P0018X
WAPH000217391835P0018X
CO174401835P1200X
FLPS433101835P1200X
IL0512923231835X0200X
CA507501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835X0200XPharmacy Service ProvidersPharmacistOncology