Organization Active NPI

Elite RX Inc

Doing business as Pill Box Pharmacy

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1952696882
Registry record updated Mar 9, 2022
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
Doing business as
Pill Box Pharmacy
Practice address
2608 E Ashlan Ave
Fresno, CA 93726-3207
Phone
(559) 492-2162
Fax
(559) 283-8441
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 50668 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2608 E Ashlan Ave
Fresno, CA 93726-3207

Mailing address

5187 N First St Suite 101
Fresno, CA 93710-3207
Phone (559) 492-2162

Other identifiers 1

IdentifierTypeStateIssuer
5641243OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Pill Box Pharmacy Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1952696882",
    "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": "937103207",
            "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": "2608 E ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263207",
            "telephone_number": "559-492-2162",
            "fax_number": "559-283-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "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
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5641243",
            "state": null
        }
    ],
    "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 Mar 9, 2022; 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.