Active NPI
Discount Pharmacy & Medical Supply
- Pharmacist
- Fresno, CA
National Provider Identifier
1487653994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY43116
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0547995 | Other | CA | NCPDP |
| PHA431160 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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
- Direct2U Sleep Services LLC
- Katherine Colette Direnzo-Dutil
- Tammy Lynn Dirksen, CO
- Joseph Jerry Disano II
- David Ellis Disbrow, M.D.
- Discovery Practice Management, Inc. (Discovery Mood & Anxiety Program, Fresno)
- Wathma Nethmini Rupasinghe Dissanayake Mudiyanselage
- Adetokunbo Diane Disu
- Cynthia Fortunato Ditona, M.P.T.
- Bonnie Elaine Ditzler, LVN
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.