BK Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50430 Issued in CA

Legal business name

BK PHARMACY CORP

Practice address

540 E Herndon Ave
#103
Fresno, CA 93720-2993

Phone

(559) 438-2888

Fax

(559) 438-0711

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sheldon Kong, PHARM.D

Title

President/Pharm.D

Phone

(559) 438-9888

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jean Kong, RPH

  • Pharmacist
  • Fresno, CA
  • NPI 1922361112
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1710176045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-438-9888",
            "fax_number": "559-438-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE",
            "address_2": "#103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-438-2888",
            "fax_number": "559-438-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT/PHARM.D",
        "authorized_official_telephone_number": "559-438-9888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY50430",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50430",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50430",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5628524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herbert Ganah Bivins, MD
• Lisa Bjorklund
• Lars Bjorkman, M.D.
• BK House of Grace and Joy, Inc.
• BK Pharmacy Corp
• BK Pharmacy Corp
• BK Pharmacy Corp
• Black Enterprises Healthcare Management, Inc
• Black Wellness & Prosperity Center
• Ariel Lynnice Black-Gray

• Community/Retail Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.