Organization Active NPI

Quantumhealth LLC

  • Compounding Pharmacy
  • Fresno, CA
National Provider Identifier
1770160632
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
QUANTUMHEALTH LLC
Practice address
1281 E Alluvial Ave
Ste 116
Fresno, CA 93720-2688
Phone
(559) 439-1190
Fax
(559) 439-1655
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Diana Lynn Smith Laurent, PHARMDNPI 1518288224
Title
Owner/Pic
Phone
(559) 439-1190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

1281 E Alluvial Ave
Ste 116
Fresno, CA 93720-2688

Mailing address

1281 E Alluvial Ave Ste 116
Fresno, CA 93720-2688
Phone (559) 439-1190

Other names 1

  • QuantumRx Doing business as

National Provider Directory

National Provider Directory

Locations

1281 E Alluvial Ave
Ste 116
Fresno, CA 93720
Phone (559) 439-1190

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1770160632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 E ALLUVIAL AVE STE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202688",
            "telephone_number": "559-439-1190",
            "fax_number": "559-439-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 E ALLUVIAL AVE",
            "address_2": "STE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202688",
            "telephone_number": "559-439-1190",
            "fax_number": "559-439-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUMHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "LAURENT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN SMITH",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "559-439-1190",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QuantumRx",
            "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 Mar 26, 2021; 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.