MEDI EX PHARMACY, INC (NPI# 1245739028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245739028 |
| Entity Type | Organization |
| Organization Name | MEDI EX PHARMACY, INC |
| Other Organization Name | MEDI-EX PHARMACY |
| Practice Address |
1067 N State College Blvd Anaheim CA 92806-2702 |
| Practice Telephone | 7148884867 |
| Practice Fax Number | 7148884660 |
| Mailing Telephone | 7148884867 |
| Mailing Fax Number | 7148884660 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | PHUONG YEN TRAN (CEO/PHARMACY DIRECTOR/PIC) |
| Authorized Official Telephone | 7148884867 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 55799 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175757 | 01 |
| Other Name | Type Code |
|---|---|
| MEDI-EX PHARMACY | Doing Business As Name - Organization |
| Street Address |
1067 N STATE COLLEGE BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| 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 |
|---|---|---|---|---|
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1366993560 | Santa Maria Pharmacy Inc | Pharmacy | 1224 S Brookhurst St, Anaheim, CA 92804-5419 | 2016-10-23 |
| 1427498450 | Telnet-rx Inc | Pharmacy | 2129 E Ball Rd, Anaheim, CA 92806-5127 | 2013-07-05 |
| 1629334362 | Kaiser Foundation Health Plan Inc | Pharmacy | 3430 E La Palma Ave Bldg 2, Anaheim, CA 92806-2020 | 2012-04-06 |
| 1396034591 | Theresa Pharmacy Inc | Pharmacy | 9860 Katella Ave, Anaheim, CA 92804-6418 | 2011-03-29 |
| 1992027577 | Aum Pharmaceuticals Inc | Pharmacy | 869 South East Street, Anaheim, CA 92805 | 2010-02-23 |
| 1881783439 | Big A Drug Stores Inc | Pharmacy | 9922 Katella Ave, Garden Grove Town Center, Anaheim, CA 92804-6419 | 2006-10-12 |
| 1952490286 | Janet Pharmacy Enterprises Inc | Pharmacy | 5596 E La Palma Ave, Anaheim, CA 92807-2108 | 2006-10-12 |
| 1073524567 | Pharmacy Plus | Pharmacy | 1012 N Euclid St, Anaheim, CA 92801-3634 | 2006-08-10 |
| 1215983218 | Albertsons LLC | Pharmacy | 810 S State College Blvd, Anaheim, CA 92806 | 2006-05-25 |
| Find all providers in ANAHEIM | ||||
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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.