RENGE PHARMACY (NPI# 1396754891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396754891 |
| Entity Type | Organization |
| Organization Name | RENGE PHARMACY |
| Practice Address |
833 F St Fresno CA 93706-3418 |
| Practice Telephone | 5592642808 |
| Practice Fax Number | 5592641852 |
| Mailing Telephone | 5592642808 |
| Mailing Fax Number | 5592641852 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-05-25 |
| Authorized Official Name | MR. MELVIN K. RENGE (OWNER/PHARMACIST) |
| Authorized Official Telephone | 5592642808 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY21926 | CA | Suppliers |
| N | 183500000X | Pharmacist | RPH 33277 | CA | Pharmacy Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PHY21926 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 21926 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE PHARMACIST LICENCE | RPH 33277 | 01 |
| NPI | 1396754891 | 01 | |
| D E A LICENCE | AR 1471933 | 01 | |
| CA | STATE PHARMACY LICENCE | PHY 21926 | 01 |
| CA | PHA 219260 | 05 |
| Street Address |
833 F ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649356999 | Melvin K Renge | Pharmacist | 833 F St, Fresno, CA 93706-3418 | 2006-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750927414 | Innovative Rx Inc | Pharmacy | 4917 E Kings Canyon Rd Ste 102, Fresno, CA 93727-3996 | 2019-11-18 |
| 1225693203 | Empire Pharmaceutical Associates, Inc | Pharmacy | 295 W Cromwell Ave Ste 116, Fresno, CA 93711-6167 | 2019-05-06 |
| 1629575550 | Anh Quynh Truong | Pharmacy | 946 E Sussex Way, Fresno, CA 93704-4363 | 2018-04-08 |
| 1568961076 | Careplus Drugs | Pharmacy | 4177 W Shaw Ave Ste 109, Fresno, CA 93722-6221 | 2018-02-10 |
| 1538698667 | The Medicine Chest LLC | Pharmacy | 1300 N Fresno St Ste 200b, Fresno, CA 93703-3845 | 2017-06-12 |
| 1912438227 | Ctx Enterprise | Pharmacy | 4009 N Marks Ave, Fresno, CA 93722-4555 | 2017-03-27 |
| 1225404999 | Mymed Pharmacy Inc | Pharmacy | 7141 N Cedar Ave, Suite 104, Fresno, CA 93720-3327 | 2015-08-18 |
| 1407230675 | Wellplus Pharmacy Inc. | Pharmacy | 3005 W Bullard Ave, Fresno, CA 93711-1609 | 2015-07-16 |
| 1518209162 | Walmart Inc. | Pharmacy | 6855 N Willow Ave, Fresno, CA 93710-5949 | 2013-03-21 |
| 1720373442 | Immediate Care Pharmacy Inc | Pharmacy | 7141 N Cedar Ave Ste 103 & 104, Fresno, CA 93720-3327 | 2011-06-10 |
| Find all providers in FRESNO | ||||
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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.