Jill Fornasero-Bassett | Bakersfield, CA • PECOS Search

Jill Fornasero-Bassett

Pharmacist

Pharmacy Service Providers

1717 Ming Ave, Bakersfield, CA 93304-4522

PECOS Enrollment

Based on the most recent information from CMS, provider Jill Fornasero-Bassett does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679976153
Provider Type
Individual
Full Name
Fornasero-Bassett, Jill
Title
Mrs.
Credential
PHARM.D

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/29/2014
Last Updated
9/29/2014

Contact Information

Practice Location

1717 Ming Ave, Bakersfield, CA 93304-4522

(661) 831-9425

Mailing Location

17948 Johnson Rd, Bakersfield, CA 93314-8920

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 48556 California