Organization
FIDELIS HEALTH GROUP LLC
Active
Other names
Fidelis Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WAGNER A LEMUS (PRESIDENT)
(702) 815-0800
Entity
Organization
Contact information
Practice address
1002 S BALDWIN AVE, ARCADIA, CA 91007-7234
(626) 447-2138
(626) 447-6433
Mailing address
1002 S BALDWIN AVE, ARCADIA, CA 91007-7234
(626) 447-2138
(626) 447-6433
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHY52510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316135569
—
CA
01
—
2149274
PK
—
Enumeration date
10/11/2007
Last updated
09/20/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up