Active NPI
Coleen Fong, PHARMD
- Pharmacist
- Fresno, CA
National Provider Identifier
1083022370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49453
- Practice address
- 7535 N Palm Ave Ste 101
Fresno, CA 93711-5504 - Phone
- (562) 926-6270
- NPI assigned
- Jul 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49453 | CA | Primary |
Addresses
Primary practice location
7535 N Palm Ave Ste 101
Fresno, CA 93711-5504
Mailing address
PO Box 4764
Cerritos, CA 90703-4764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49453 | CA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1083022370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4764",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907034764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 N PALM AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115504",
"telephone_number": "562-926-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "COLEEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "49453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.