FOX DRUG STORE INC
NPI 1427041185
Pharmacy in Selma, CA

Active since August 29, 2005CLIA 05D2200485 · Waiver
1939 HIGH ST, SELMA, CA 93662(559) 896-1645(559) 896-3266 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fox Drug Store Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOX DRUG STORE INC (NPI 1427041185), doing business as Sunnyside Pharmacy, is a healthcare organization registered as a pharmacy in Selma, California and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Lunny Ronnie Jung, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427041185
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFOX DRUG STORE INC
Location Address1939 HIGH STSelma, CA 93662-3510
Mailing Address1939 High StSelma, CA 93662-3510 · (559) 896-1645 · Fax (559) 896-3266
Fax(559) 896-3266
Organization SubpartNo
Authorized OfficialLunny Ronnie JungCeo · (559) 896-1645
Enumeration DateAugust 29, 2005
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1427041185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · PHY43450
Definition
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.
Also ListedPharmacistTaxonomy 183500000X · License 27764 (CA)
Also ListedPharmacist · Nutrition SupportTaxonomy 1835N1003X · License 27764 (CA)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PHY43450 (CA)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License PHY43450 (CA)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License PHY43450 (CA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1939 HIGH ST, Selma, CA 93662

Other Names 1

Doing Business AsSunnyside Pharmacy

Other Identifiers 1

MedicaidPHY43450CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2200485

Fox Drug Inc. · Selma, CA
Active · expires Nov 15, 2026
CLIA Number05D2200485
Laboratory TypePharmacy
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDianne Jung
Laboratory Phone(559) 896-1645
Laboratory LocationFox Drug Inc.1939 High St, Selma, CA 93662
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
328 services328 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
310 services310 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
178 services178 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
82 services82 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
82 services82 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Fox Drug Store Inc carries, from the Medicare DMEPOS supplier directory.

Fox Drug Store Inc

DMEPOS supplier · Selma, CA

Accepts Medicare assignment

Fox Drug Store Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20539145
Medicare Participant SinceSeptember 1, 2010
Supplier Location1939 High StSelma, CA 93662
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1939 HIGH ST
SELMA, CA 93662
Pharmacist
1939 HIGH ST
SELMA, CA 93662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fox Drug Store Inc's NPI number?

The NPI number for Fox Drug Store Inc is 1427041185. It was assigned to this organization in the NPPES registry on August 29, 2005. The provider is doing business as Sunnyside Pharmacy.

Where is Fox Drug Store Inc located?

Fox Drug Store Inc is located at 1939 High St, Selma, CA 93662. The listed phone number is (559) 896-1645.

What is Fox Drug Store Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Fox Drug Store Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fox Drug Store Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Fox Drug Store Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2200485) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fox Drug Store Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Fox Drug Store Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fox Drug Store Inc was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.