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BK PHARMACY CORP NPI 1770649048


NPI Information

NPI: 1770649048
Provider Name: BK PHARMACY CORP
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
7509 N WILLOW AVE STE 105
FRESNO, CA
ZIP 93720
Phone: (559) 325-6581
Get Directions

BK PHARMACY CORP is a long term care pharmacy pharmacy in Fresno, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BK PHARMACY CORP NPI is 1770649048. The provider is registered as an organization entity type.

The provider's business location address is:

7509 N WILLOW AVE STE 105
FRESNO, CA
ZIP 93720-345
Phone: (559) 325-6581
Fax: (559) 438-0118

The provider's authorized official is Sheldon Kong .
The authorized official title is President/pharm.d and has the following contact phone number (559) 325-6581.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesPHY50429CALIFORNIANo
2333600000XPharmacyPHY50429CALIFORNIANo
33336L0003XPharmacyLong Term Care PharmacyPHY50429CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15625009OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
21770649048MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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