Active NPI
Peter Kwok
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Fresno, CA
National Provider Identifier
1962514885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PETER KWOK
- Doing business as
- Medicine Shoppe
- Practice address
- 4845 E Butler Ave
Fresno, CA 93727-5015 - Phone
- (559) 255-3301
- Fax
- (559) 255-2912
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Kwok, RPH
- Title
- Owner Pharmacist
- Phone
- (559) 255-3301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY32411 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4845 E Butler Ave
Fresno, CA 93727-5015
Mailing address
4845 E Butler Ave
Fresno, CA 93727-5015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA34110 | Medicaid | CA | |
| 0585325 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- Medicine Shoppe
National Provider Directory
National Provider DirectoryLocations
4845 E Butler Ave
Fresno, CA 93727
Phone (209) 255-3301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fresno, CA
- NPI 1164947586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1962514885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 E BUTLER AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937275015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845 E BUTLER AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937275015",
"telephone_number": "559-255-3301",
"fax_number": "559-255-2912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER KWOK",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "KWOK",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "559-255-3301",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY32411",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA34110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0585325",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
- Monte Frederick Person, D.D.S.
- Melissa Antoinette Persons, SLP
- Nickolas Fredrick Persons, LPCC #14273
- Sarah Pervaiz, MD
- Peter J. Dorian, Audiologist, a Professional Corporation (Dorian Hearing Center)
- Peter Kwok-Jeff Lum Partnership (Medicine Shoppe)
- Peter Nassar M.D., Inc
- Peter T. Truong, M.D., Inc.
- Peter T. Truong, M.D., Surgical Center, Inc. (Riverview Ambulatory Surgical Center)
- Peter T. Truong, M.D., Surgical Center, Inc. (Riverview Ambulatory Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.