BK Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54539 Issued in CA

Legal business name

BK PHARMACY CORP

Practice address

6741 N Willow Ave
106
Fresno, CA 93710-5955

Phone

(559) 297-8888

Fax

(559) 325-2888

NPI assigned

Sep 21, 2016

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheldon Kong, PHARM D

Title

President/ Pharmacist

Phone

(559) 297-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• BK Pharmacy Corp

  • Pharmacy
  • Madera, CA
  • NPI 1306830609

  6608052477

  Same PAC ID

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

Tax ID family

BK Pharmacy Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• BK Pharmacy Corp

  • Long Term Care Pharmacy
  • Fresno, CA
  • NPI 1194221762
  NPD tax ID
• BK Pharmacy Corp

  • Pharmacy
  • Madera, CA
  • NPI 1306830609
  NPD tax ID
• BK Pharmacy Corp

  • Long Term Care Pharmacy
  • Fresno, CA
  • NPI 1770649048
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Kong, RPH

  • Pharmacist
  • Fresno, CA
  • NPI 1922361112
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1962950741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 N WILLOW AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105955",
            "telephone_number": "559-325-6581",
            "fax_number": "559-325-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 N WILLOW AVE",
            "address_2": "106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105955",
            "telephone_number": "559-297-8888",
            "fax_number": "559-325-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACIST",
        "authorized_official_telephone_number": "559-297-8888",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY PERMIT",
            "identifier": "54539",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lars Bjorkman, M.D.
• BK House of Grace and Joy, Inc.
• BK Pharmacy Corp
• BK Pharmacy Corp
• BK Pharmacy Corp
• Black Enterprises Healthcare Management, Inc
• Black Wellness & Prosperity Center
• Ariel Lynnice Black-Gray
• Colleen Rae Black, MSN RNP CNM RN NP
• Danell Tenyenhuis Black, LPCC

• Community/Retail Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.