FAIRVIEW MTM PHARMA INC (NPI# 1417306200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417306200 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW MTM PHARMA INC |
| Other Organization Name | MTM PHARMACY FAIRVIEW |
| Practice Address |
1002 N Fairview St Santa Ana CA 92703-1811 |
| Practice Telephone | 7148810012 |
| Practice Fax Number | 7144862378 |
| Mailing Telephone | 7148810012 |
| Mailing Fax Number | 7148814321 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | MRS. DENISE T. LE (PRESIDENT/PIC) |
| Authorized Official Telephone | 7148810012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY54449 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA STATE BOARD OF PHARMACY PERMIT | PHY 54449 | 01 |
| Other Name | Type Code |
|---|---|
| MTM PHARMACY FAIRVIEW | Doing Business As Name - Organization |
| Street Address |
1002 N FAIRVIEW ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92703-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366260 | Karen Babel | Family Medicine | 1002 N Fairview St, Santa Ana, CA 92703 | 2005-06-17 |
| 1083252654 | Duy Quoc Nguyen | Pharmacist | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2019-12-13 |
| 1124534169 | Bright View Optometry, Inc. | Optometrist | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2017-12-28 |
| 1114252954 | Nhu Quynh Ly | Optometrist | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2009-10-13 |
| 1366678906 | Roxanna Stallworth | Internal Medicine | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2009-06-10 |
| 1154593069 | Robert Espinoza | Family Medicine | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2008-03-31 |
| 1962694869 | Fariba Shokoohy | General Practice | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2007-08-14 |
| 1316091564 | Juanita Lopez | Dietitian, Registered | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2007-01-23 |
| 1003918947 | Melissa A Medellin | Nurse Practitioner | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2006-09-01 |
| 1497730147 | Mihaela Sabina Shabdeen | Family Medicine | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2005-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580806 | F Rodef & B Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-10-28 |
| 1699283465 | Vinnie Quan Nguyen | Pharmacist | 941 Fair Way, Santa Ana, CA 92703 | 2018-01-16 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1568823342 | Reina M Escolero | Registered Nurse | 1708 W. 12th Street, Santa Ana, CA 92703 | 2016-03-08 |
| 1528427994 | Nathaniel Gandy Lane | Physician Assistant | 420 S. Bristol St., Santa Ana, CA 92703 | 2016-02-15 |
| 1285035626 | Elizabeth Nieto Patino | Specialist/Technologist | 4201 W 5th St #211, Santa Ana, CA 92703 | 2014-09-04 |
| 1790113108 | Monica Susie Kim | Acupuncturist | 100 N Harbor Blvd., Unit C-7, Santa Ana, CA 92703 | 2013-10-22 |
| 1730525833 | Ryan Hoida | Counselor | 1202 W Civic Dr, Santa Ana, CA 92703 | 2013-05-15 |
| 1861777625 | Minh Pharmacy | Pharmacy | 5110 Westminster Ave #b, Santa Ana, CA 92703 | 2011-10-12 |
| 1518241868 | James Shon | Acupuncturist | 1111 N. Bristol #j, Santa Ana, CA 92703 | 2011-10-05 |
| Find all providers in zip 92703 | ||||
| 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 |
|---|---|---|---|---|
| 1851913867 | Oc Community Pharmacy Inc | Pharmacy | 809 S Main St Apt C, Santa Ana, CA 92701-6605 | 2020-05-13 |
| 1942836424 | Altamed Health Services Corp | Pharmacy | 2720 S Bristol St Rm 100, Santa Ana, CA 92704-6207 | 2020-03-17 |
| 1275163016 | Carejoy Pharmacy Inc | Pharmacy | 2708 Westminster Ave Ste 120, Santa Ana, CA 92706-2192 | 2020-01-21 |
| 1841781739 | Nimble Pharmacy, Inc | Pharmacy | 640 S Grand Ave # 106107, Santa Ana, CA 92705-4156 | 2018-05-25 |
| 1972012227 | Planet Health Inc | Pharmacy | 2001 E 4th St Ste 112, Santa Ana, CA 92705-3916 | 2017-09-29 |
| 1265965271 | Tran-rx, LLC | Pharmacy | 1106 E 17th St Ste B, Santa Ana, CA 92701-2603 | 2017-04-06 |
| 1235590555 | Santa Ana Pharmacy Health Center | Pharmacy | 1103 S Harbor Blvd, Santa Ana, CA 92704-2347 | 2016-03-14 |
| 1558721605 | Laura Pharmacy Inc | Pharmacy | 2525 Westminster Ave Ste E, Santa Ana, CA 92706-2143 | 2016-03-02 |
| 1346611225 | Kl Pharmacy Corporation | Pharmacy | 4718 W 1st St Ste 101, Santa Ana, CA 92703-3106 | 2015-10-17 |
| 1659797421 | Mtm Pharma Inc | Pharmacy | 2339 W 1st St, Santa Ana, CA 92703-3503 | 2014-03-17 |
| Find all providers in SANTA ANA | ||||
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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.