Organization Active NPI

Jeffrey K. Shinoda, Pharm.D., Inc.

  • Oncology Pharmacist
  • Fresno, CA
National Provider Identifier
1497807945
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
RPH41852 Issued in CA
Legal business name
JEFFREY K. SHINODA, PHARM.D., INC.
Practice address
6121 N Thesta St
Ste 204
Fresno, CA 93710-5294
Phone
(559) 435-2425
Fax
(559) 438-4372
NPI assigned
Jan 17, 2007
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
Dr. Jeff K Shinoda, PHARM.D.
Title
President
Phone
(559) 435-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835X0200X RPH41852 CA Primary

Addresses

Primary practice location

6121 N Thesta St
Ste 204
Fresno, CA 93710-5294

Mailing address

6121 N Thesta St Ste 204
Fresno, CA 93710-5294
Phone (559) 435-2425

Other identifiers 3

IdentifierTypeStateIssuer
PHY47019OtherCAPHARMACY
5615123OtherNABP
LSC99279OtherCASTERILE CLEAN ROOM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1497807945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST STE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105294",
            "telephone_number": "559-435-2425",
            "fax_number": "559-438-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "STE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105294",
            "telephone_number": "559-435-2425",
            "fax_number": "559-438-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY K. SHINODA, PHARM.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHINODA",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-435-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Oncology",
            "state": "CA",
            "license": "RPH41852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PHY47019",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5615123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERILE CLEAN ROOM",
            "identifier": "LSC99279",
            "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 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.