Active NPI
Jeff Lum, PHARM.D.
- Pharmacist
- Fresno, CA
National Provider Identifier
1811412232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42790
- Practice address
- 219 E Olive Ave
Fresno, CA 93728-3129 - Phone
- 15599305671
- Fax
- (559) 268-1807
- NPI assigned
- Aug 7, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42790 | CA | Primary |
Addresses
Primary practice location
219 E Olive Ave
Fresno, CA 93728-3129
Mailing address
219 E Olive Ave
Fresno, CA 93728-3129
Phone (559) 930-5671
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 |
|---|---|---|---|
| 42790 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter Kwok-Jeff Lum Partnership | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fresno, CA
- NPI 1427160340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1811412232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 E OLIVE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283129",
"telephone_number": "15599305671",
"fax_number": "559-268-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E OLIVE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283129",
"telephone_number": "15599305671",
"fax_number": "559-268-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "JEFF",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42790",
"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 Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.