Renge Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 21926 Issued in CA

Legal business name

RENGE PHARMACY

Practice address

833 F St
Fresno, CA 93706-3418

Phone

(559) 264-2808

Fax

(559) 264-1852

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Melvin K. Renge, PHARM. D.NPI 1649356999

Title

Owner/Pharmacist

Phone

(559) 264-2808

Specialties & licenses 4

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin K Renge, PHD

  • Pharmacist
  • Fresno, CA
  • NPI 1649356999
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1396754891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 F ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063418",
            "telephone_number": "559-264-2808",
            "fax_number": "559-264-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 F ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063418",
            "telephone_number": "559-264-2808",
            "fax_number": "559-264-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "RENGE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "559-264-2808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 33277",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY21926",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY21926",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 21926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D E A LICENCE",
            "identifier": "AR 1471933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENCE",
            "identifier": "RPH 33277",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENCE",
            "identifier": "PHY 21926",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396754891",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 219260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camryn Jolie Rendon-Rodriguez
• Anthony Christopher Rendon
• Kyana Elisa Rendon
• Nasaria Diane Rendon
• Vivian Jackleen Rendon
• Melvin K Renge, PHD
• Cynthia Mia Renova
• Roxana Renta
• Veronica Renteria Gomez
• Deysi Renteria

• Community/Retail Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.