MODERN DRUG INC (NPI# 1134128655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134128655 |
| Entity Type | Organization |
| Organization Name | MODERN DRUG INC |
| Other Organization Name | TOUS PHARMACY |
| Practice Address |
3250 E Olive Ave Ste B Fresno CA 93702-1023 |
| Practice Telephone | 5592682547 |
| Practice Fax Number | 5592680212 |
| Mailing Telephone | 5592682547 |
| Mailing Fax Number | 5592680212 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-02-24 |
| Authorized Official Name | KIMPHI THI LE (PIC/TREASURER) |
| Authorized Official Telephone | 5592682547 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | PHY48897 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP | 0547793 | 01 |
| CA | 1134128655 | 05 |
| Other Name | Type Code |
|---|---|
| Tous Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610191 | Modern Drug Inc | Pharmacy | 10672 Chapman Ave Ste 5, Garden Grove, CA 92840-3103 | 2016-02-23 |
| 1760455711 | Modern Drug Inc | Pharmacy | 3044 Tulare St, Fresno, CA 93721 | 2006-02-09 |
| Street Address |
3250 E OLIVE AVE STE B |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| 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 |
|---|---|---|---|---|
| 1316575467 | Pharmedquest Pharmacy Services | Pharmacy | 2740 S Elm Ave Rm 2, Fresno, CA 93706-5435 | 2020-04-01 |
| 1285151324 | Family First Pharmacy Inc | Pharmacy | 4859 E King Cyn Rd, Fresno, CA 93727-3811 | 2017-08-29 |
| 1427300664 | Chestnut Pharmacy | Pharmacy | 7075 N Chestnut Ave Ste 104, Fresno, CA 93720-0356 | 2012-10-12 |
| 1457600215 | Kan Pharmacy Inc | Pharmacy | 302 E Bullard Ave, Fresno, CA 93710-5299 | 2012-09-07 |
| 1881989564 | Elite Rx Inc | Pharmacy | 2608 E Ashlan Ave, Fresno, CA 93726-3207 | 2011-06-10 |
| 1639253800 | Cynthia H Vu | Pharmacy | 2045 N Fresno St, Fresno, CA 93703-2232 | 2006-10-24 |
| 1891884441 | Big A Drug Stores Inc | Pharmacy | 1233 N Van Ness Ave, Fresno, CA 93728-1935 | 2006-10-12 |
| 1144325556 | Byram Healthcare Centers, Inc | Pharmacy | 3131 S Willow Ave, Ste 103, Fresno, CA 93725-9349 | 2006-09-13 |
| 1427160340 | Peter Kwok-jeff Lum Partnership | Pharmacy | 219 E Olive Ave, Fresno, CA 93728-3129 | 2006-08-31 |
| 1962514885 | Peter Kwok | Pharmacy | 4845 E Butler Ave, Fresno, CA 93727-5015 | 2006-08-31 |
| 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.