Med-Pros Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50514 Issued in CA

Legal business name

MED-PROS PHARMACY INC

Practice address

12582 Garden Grove Blvd
Garden Grove, CA 92843-1907

Phone

(714) 638-4843

Fax

(714) 638-2932

NPI assigned

Jan 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Le PhamNPI 1720722077

Title

President / Ceo

Phone

(714) 638-4843

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Med-Pros Pharmacy & Medical Supplies Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Le Pham, PHARMD

  • Pharmacist
  • Garden Grove, CA
  • NPI 1720722077
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1124324736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12582 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431907",
            "telephone_number": "714-638-4843",
            "fax_number": "714-638-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12582 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431907",
            "telephone_number": "714-638-4843",
            "fax_number": "714-638-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PROS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "714-638-4843"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Pros Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilie Mary McNeill
• Daniel W. McQuoid, PSY.D.
• Brittany Nacole McVaugh
• MD Associates Laboratory, Inc.
• Jamie Mae Meacham, BCBA
• Medchoice Ipa Inc.
• Medcore Equipments LLC
• Marie Alyce Medeck, BEHAVIORAL THERAPIST
• Danielle Mederos
• Medical Center of Garden Grove

• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.