Organization Active NPI

Discount Pharmacy & Medical Supply

  • Pharmacist
  • Fresno, CA
National Provider Identifier
1487653994
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY43116 Issued in CA
Legal business name
DISCOUNT PHARMACY & MEDICAL SUPPLY
Practice address
703 N Fulton St
Suite 201
Fresno, CA 93728-3405
Phone
(559) 268-0712
Fax
(559) 268-0722
NPI assigned
Jul 18, 2005
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Mrs. Van T Nguyen, RPH.
Title
Owner Pharmacist
Phone
(559) 268-0712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHY43116 CA Primary

Addresses

Primary practice location

703 N Fulton St
Suite 201
Fresno, CA 93728-3405

Mailing address

703 N Fulton St
Suite 201
Fresno, CA 93728-3405
Phone (559) 268-0712

Other identifiers 2

IdentifierTypeStateIssuer
0547995OtherCANCPDP
PHA431160MedicaidCA

National Provider Directory

National Provider Directory

Locations

703 N Fulton St
Ste 201
Fresno, CA 93728
Phone (559) 268-0712

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1487653994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N FULTON ST",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283405",
            "telephone_number": "559-268-0712",
            "fax_number": "559-268-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FULTON ST",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283405",
            "telephone_number": "559-268-0712",
            "fax_number": "559-268-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT PHARMACY & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "559-268-0712",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY43116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0547995",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA431160",
            "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 Mar 4, 2011; 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.