Dr. Nanjoo Shin, Pharm D
Pharmacist in Fresno, CA. Individual provider (NPI-1).
NPI number1205408689
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1205408689
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nanjoo Shin
- Credential
- Pharm D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2021
- Certification date
- Jul 12, 2021
- Last updated
- Jul 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 84251 | CA | Yes |
| 333600000X | Pharmacy | 84251 | CA | |
| 333600000X | Pharmacy | 60126 | FL |
Practice location
740 W Alluvial Ave Ste 101Fresno, CA 93711-5509
Phone 800-797-3543
Mailing address
1345 Emerald Dr Apt 214Los Angeles, CA 90026-2138
Phone 213-999-8814
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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