Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205558707 Individual Practitioner Female Practitioner

Ida Osathanugrah

Pharmacist • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Ida Osathanugrah is a registered healthcare professional specializing in Pharmacist in Clovis, CA. Practice services are available at 2010 LOS ALTOS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2010 Los Altos Ave

Clovis, CA 936115309

Telephone 6615573800

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
126 Specialists

Practicing in Clovis, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 86494

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2022

Registered at 2010 LOS ALTOS AVE, CLOVIS, CA 936115309 (Tel: 6615573800)

📍
Updated Business Mailing Address September 13, 2022

Registered at 2010 LOS ALTOS AVE, CLOVIS, CA 936115309 (Tel: 6615573800)

👤
Provider Name / Credentials Updated September 13, 2022

Recorded as IDA OSATHANUGRAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2022

Pharmacist (License #86494 in CA)

🟢
Initial NPI Registration & Enumeration September 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205558707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2022
Last Update: September 13, 2022
Sole Proprietor: No

Mailing Address

2010 Los Altos Ave

Clovis, CA 936115309

Phone: 6615573800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.