Organization Active NPI

Kan Pharmacy Inc

Doing business as Care Rx Pharmacy

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1457600215
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51049 Issued in CA
Legal business name
KAN PHARMACY INC
Doing business as
Care Rx Pharmacy
Practice address
302 E Bullard Ave
Fresno, CA 93710-5299
Phone
(559) 261-9888
Fax
(559) 261-9487
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Christine Kan
Title
Pic
Phone
(559) 261-9888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY51049 CA Primary

Addresses

Primary practice location

302 E Bullard Ave
Fresno, CA 93710-5299

Mailing address

302 E Bullard Ave
Fresno, CA 93710-5299
Phone (559) 261-9888

Other identifiers 1

IdentifierTypeStateIssuer
2136953OtherPK

Other names 1

  • Care Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1457600215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105299",
            "telephone_number": "559-261-9888",
            "fax_number": "559-261-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105299",
            "telephone_number": "559-261-9888",
            "fax_number": "559-261-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "KAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "559-261-9888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Rx Pharmacy",
            "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 Apr 5, 2016; 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.