Active NPI
Randolph Louis Dockum, PHARMD.
- Oncology Pharmacist
- Fresno, CA
National Provider Identifier
1780757807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- RPH 32201
- Practice address
- 7300 N Fresno St
Palm 3 Oncology
Fresno, CA 93720-2941 - Phone
- (559) 448-3882
- Fax
- (558) 448-3546
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | RPH 32201 | CA | Primary |
Addresses
Primary practice location
7300 N Fresno St
Palm 3 Oncology
Fresno, CA 93720-2941
Mailing address
674 E Portland Ave
Fresno, CA 93720-2113
Phone (559) 439-2532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 32201 | CA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780757807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 E PORTLAND AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202113",
"telephone_number": "559-439-2532",
"fax_number": "559-448-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N FRESNO ST",
"address_2": "PALM 3 ONCOLOGY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202941",
"telephone_number": "559-448-3882",
"fax_number": "558-448-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKUM",
"first_name": "RANDOLPH",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "RPH 32201",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.