BK Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY50428 Issued in CA

Legal business name

BK PHARMACY CORP

Practice address

1129 W 4TH St
#A
Madera, CA 93637-4477

Phone

(559) 675-1688

Fax

(559) 661-6474

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sheldon Kong, PHARM.D

Title

President/Pharm.D

Phone

(559) 325-6581

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• BK Pharmacy Corp

  • Community/Retail Pharmacy
  • Fresno, CA
  • NPI 1962950741

  6608052477

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• BK Pharmacy Corp

  • Long Term Care Pharmacy
  • Fresno, CA
  • NPI 1194221762
  NPD tax ID
• BK Pharmacy Corp

  • Long Term Care Pharmacy
  • Fresno, CA
  • NPI 1770649048
  NPD tax ID
• BK Pharmacy Corp

  • Community/Retail Pharmacy
  • Fresno, CA
  • NPI 1962950741
  NPD tax ID

Locations

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1306830609",
    "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": "559-325-6581",
            "fax_number": "559-325-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 W 4TH ST",
            "address_2": "#A",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374477",
            "telephone_number": "559-675-1688",
            "fax_number": "559-661-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT/PHARM.D",
        "authorized_official_telephone_number": "559-325-6581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY50428",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306830609",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saniya B Bhusari, MSHI, MHA, BDS
• Rylee Bibby
• Devonna Bidwal
• Tiana Bisbee
• Louisa Ann Bisel
• Anthony Blake
• Irene Jeanette Blanco, LCSW
• Uwe Blecker, MD
• Brandon Michael Bleeker
• Caroline Boccarossa

• Pharmacy in Madera, CA
• Providers in Madera, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.