Organization Active NPI

CTX Enterprise

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1912438227
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CTX ENTERPRISE
Practice address
4009 N Marks Ave
Fresno, CA 93722-4555
Phone
(559) 226-1201
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Dr. Tou Yang, PHARM.D.NPI 1144627035
Title
Pharmacist in Charge
Phone
(559) 226-1201

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 1

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

Addresses

Primary practice location

4009 N Marks Ave
Fresno, CA 93722-4555

Mailing address

4009 N Marks Ave
Fresno, CA 93722-4555
Phone (559) 226-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210219002264 CA Part B Supplier - Pharmacy 8527331545 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

4009 N Marks Ave
Fresno, CA 93722
Phone (559) 226-1201

Practitioners & affiliated clinicians

Practitioners 3

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": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1912438227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-226-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-226-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTX ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "TOU",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "559-226-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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 Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.