Organization Active NPI

Elite RX Inc

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1881989564
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50668 Issued in CA
Legal business name
ELITE RX INC
Practice address
5187 N First St Suite 101
Fresno, CA 93710
Phone
(559) 492-2162
Fax
(559) 492-2166
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Pang Yang
Title
Pic/President
Phone
(559) 492-2162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 50668 CA Primary

Addresses

Primary practice location

5187 N First St Suite 101
Fresno, CA 93710

Mailing address

5187 N First St Suite 101
Fresno, CA 93710
Phone (559) 492-2162

Other identifiers 1

IdentifierTypeStateIssuer
1881989564MedicaidCA

Other names 1

  • PILL BOX PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120820001099 CA DME Supplier - Pharmacy 7911187737 Practice locations: Fresno, CA
O20210218002496 CA Part B Supplier - Pharmacy 7911187737 1 other NPI on this enrollment
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pill Box Pharmacy5187 N. First St, Fresno, CA 93710-7805(559) 492-2162 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Dec 9, 2010

National Provider Directory

National Provider Directory
Tax ID family
Elite RX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5187 N 1st St
Ste 101
Fresno, CA 93710
Phone (559) 492-2162

2608 E Ashlan Ave
Fresno, CA 93726
Phone (559) 492-2162

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1881989564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 N FIRST ST SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-492-2162",
            "fax_number": "559-283-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5187 N FIRST ST SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-492-2162",
            "fax_number": "559-492-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "PANG",
        "authorized_official_title_or_position": "PIC/PRESIDENT",
        "authorized_official_telephone_number": "559-492-2162"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881989564",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PILL BOX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PILL BOX PHARMACY",
            "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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.