MEDICARE: ASHLEY ANN FUKUMAE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	66337	CA

General Provider Information

NPI Number	:	1396271300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ANN FUKUMAE

Provider Business Mailing Address
First Line	:	2075 MENDOCINO AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95401-3667
Country	:	US
Telephone Number	:	707-542-4182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2075 MENDOCINO AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95401-3667
Country	:	US
Telephone Number	:	707-542-4182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

Similar Medicare Providers

1699719039 — LONGS DRUG STORES CALIFORNIA LLC
Practice Location Address:

2075 MENDOCINO AVE
SANTA ROSA, CA
95401-3667

Practice Phone: 707-542-4182
Practice Fax: 707-542-8914

1831754282 — ALEXANDER YING KIT HO PHARMD
Practice Location Address:

2075 MENDOCINO AVE
SANTA ROSA, CA
95401-3667

Practice Phone: 707-542-4182
Practice Fax: 707-542-8914

1679942924 — DR. CARLOS JAVIER KING JR. D.D.S.
Practice Location Address:

1734 W 1ST ST STE H
SANTA ANA, CA
92703-3667

Practice Phone: 619-778-7352
Practice Fax:

1336479229 — KRISTINE ELIZABETH MARTINEZ
Practice Location Address:

341 IRWIN LN
SANTA ROSA, CA
95401-5603

Practice Phone: 707-360-1511
Practice Fax:

1376495788 — VANESSA ZAMORA
Practice Location Address:

1160 N DUTTON AVE STE 140
SANTA ROSA, CA
95401-4652

Practice Phone: 855-223-7123
Practice Fax:

1811849144 — MR. TIMOTHY MARSHALL
Practice Location Address:

320 10TH ST STE 200
SANTA ROSA, CA
95401-5291

Practice Phone: 707-579-0465
Practice Fax:

Directions to “ ASHLEY ANN FUKUMAE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.