DR. TASI NIGHTINGALE FOMUKONG PHARM D
NPI 1578852802
Pharmacist in Los Banos, CA

Active since April 07, 2011
1317 E PACHECO BLVD, LOS BANOS, CA 93635(209) 826-3036 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tasi Nightingale Fomukong Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TASI NIGHTINGALE FOMUKONG PHARM D (NPI 1578852802) is an individual pharmacist in Los Banos, California, licensed in California (63335) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1578852802
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. TASI NIGHTINGALE FOMUKONGCredential: PHARM D
Location Address1317 E PACHECO BLVDLos Banos, CA 93635-4335
Mailing Address1317 E Pacheco BlvdLos Banos, CA 93635-4335
Sole ProprietorNo
Enumeration DateApril 7, 2011
NPI 1578852802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in CA · 63335 Licensed in NV · 17616
Definition
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.
1317 E PACHECO BLVD, Los Banos, CA 93635

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1317 E PACHECO BLVD
LOS BANOS, CA 93635
Pharmacist
1317 E PACHECO BLVD
LOS BANOS, CA 93635
Pharmacist
1317 E PACHECO BLVD
LOS BANOS, CA 93635
Pharmacy Technician
1317 E PACHECO BLVD
LOS BANOS, CA 93635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tasi Fomukong's NPI number?

The NPI number for Tasi Fomukong is 1578852802. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Tasi Fomukong located?

Tasi Fomukong practices at 1317 E Pacheco Blvd, Los Banos, CA 93635. The listed phone number is (209) 826-3036.

What is Tasi Fomukong's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Tasi Fomukong was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.