Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tasi Nightingale Fomukong, PHARMD

Individual provider Pharmacist · NPI 1578852802

Dr. Tasi Nightingale Fomukong, PHARMD is a Pharmacist in Los Banos, California. Licensed in California and Nevada. Registered with an NPI since 2011.

Licensed in
CA, NV
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1317 E Pacheco Blvd
Los Banos, CA 93635-4335
Phone: (209) 826-3036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 63335 (CA)
Pharmacist Taxonomy 183500000X · Licence 17616 (NV)

Record details

NPI number1578852802
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 7, 2011
Last updated in NPPESApril 7, 2011

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