Organization Active NPI

BK Pharmacy Corp

  • Long Term Care Pharmacy
  • Fresno, CA
National Provider Identifier
1194221762
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
56093 Issued in CA
Legal business name
BK PHARMACY CORP
Practice address
7509 N Willow Ave Ste 105
Fresno, CA 93720-0345
Phone
(559) 325-6581
Fax
(559) 325-6627
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheldon Kong
Title
President
Phone
(559) 438-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 56093 CA Primary

Addresses

Primary practice location

7509 N Willow Ave Ste 105
Fresno, CA 93720-0345

Mailing address

7509 N Willow Ave Ste 105
Fresno, CA 93720-0345
Phone (559) 438-9888

Other identifiers 1

IdentifierTypeStateIssuer
56093OtherCABOARD OF PHARMACY

National Provider Directory

National Provider Directory
Tax ID family
BK Pharmacy Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7509 N Willow Ave
Ste 105
Fresno, CA 93720
Phone (559) 325-6581

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1194221762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 N WILLOW AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200345",
            "telephone_number": "559-438-9888",
            "fax_number": "559-438-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 N WILLOW AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200345",
            "telephone_number": "559-325-6581",
            "fax_number": "559-325-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-438-9888"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "56093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "56093",
            "state": "CA"
        }
    ],
    "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 Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.