Fresno Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44487 Issued in CA

Legal business name

FRESNO PHARMACY, INC

Practice address

4917 E. Kings Canyon Rd.
# 102
Fresno, CA 93727

Phone

(559) 255-8085

Fax

(559) 255-2342

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Vinh Qui Ly

Title

President

Phone

(559) 255-8085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1780714089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 E. KINGS CANYON RD.",
            "address_2": "# 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-255-8085",
            "fax_number": "559-255-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 E. KINGS CANYON RD.",
            "address_2": "# 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-255-8085",
            "fax_number": "559-255-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "QUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-255-8085"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 4, 2018; 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.