Organization Active NPI

Peter Kwok-Jeff Lum Partnership

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1427160340
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PETER KWOK-JEFF LUM PARTNERSHIP
Doing business as
Medicine Shoppe
Practice address
219 E Olive Ave
Fresno, CA 93728-3129
Phone
(559) 268-8258
Fax
(559) 268-1807
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Peter Kim Kwok, PHARM.D.
Title
Partner
Phone
(559) 268-8258

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY41280 CA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

219 E Olive Ave
Fresno, CA 93728-3129

Mailing address

219 E Olive Ave
Fresno, CA 93728-3129

Other identifiers 2

IdentifierTypeStateIssuer
0576453OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA412800MedicaidCA

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

219 E Olive Ave
Fresno, CA 93728
Phone (559) 930-5671

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427160340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283129",
            "telephone_number": "559-268-8258",
            "fax_number": "559-268-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER KWOK-JEFF LUM PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KWOK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-268-8258",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY41280",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0576453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA412800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.