BK PHARMACY CORP (NPI# 1306830609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306830609 |
| Entity Type | Organization |
| Organization Name | BK PHARMACY CORP |
| Practice Address |
1129 W 4th St #a Madera CA 93637-4477 |
| Mailing Address |
540 E Herndon Ave Suite 101 Fresno CA 93720-2993 |
| Practice Telephone | 5596751688 |
| Practice Fax Number | 5596616474 |
| Mailing Telephone | 5594389888 |
| Mailing Fax Number | 5594380118 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | MR. SHELDON KONG (PRESIDENT/PHARM.D) |
| Authorized Official Telephone | 5594389888 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PHY50428 | CA | Suppliers |
| Y | 333600000X | Pharmacy | PHY50428 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1306830609 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194221762 | Bk Pharmacy Corp | Pharmacy | 7509 N Willow Ave Ste 105, Fresno, CA 93720-0345 | 2018-04-03 |
| 1962950741 | Bk Pharmacy Corp | Pharmacy | 6741 N Willow Ave, 106, Fresno, CA 93710-5955 | 2016-09-21 |
| 1710176045 | Bk Pharmacy Corp | Pharmacy | 540 E Herndon Ave, #103, Fresno, CA 93720-2993 | 2007-10-23 |
| 1770649048 | Bk Pharmacy Corp | Durable Medical Equipment & Medical Supplies | 540 E Herndon Ave, Suite 101, Fresno, CA 93720-2993 | 2006-12-29 |
| Street Address |
1129 W 4TH ST #A |
| City | MADERA |
| State | CA |
| Zip Code | 93637-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679634885 | Qianmin Wang | Dentist | 1129 W 4th St, Suite B, Madera, CA 93637-4477 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
| 1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
| 1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
| 1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
| 1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
| 1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
| 1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
| Find all providers in zip 93637 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235274861 | Kyu Yon Lee | Pharmacy | 510 E Almond Ave, Madera, CA 93637-5611 | 2007-02-21 |
| 1558321307 | Children's Hospital Central California Campus Pharmacy | Pharmacy | 41169 Goodwin Way, Mail Stop Mb09, Madera, CA 93638-8766 | 2006-03-24 |
| 1689672669 | The Pill Box Pharmacy | Pharmacy | 1108 N Lake St, Madera, CA 93638-2112 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.