Active NPI
Miku Pharmacy Inc
- Community/Retail Pharmacy
- Mission Viejo, CA
National Provider Identifier
1215076260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY53671
- Legal business name
- MIKU PHARMACY INC
- Practice address
- 26902 Oso Pkwy
Ste 160
Mission Viejo, CA 92691-5801 - Phone
- (949) 582-3633
- Fax
- (949) 582-8264
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Ta
- Title
- Owner
- Phone
- (949) 582-3633
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY53671 | CA | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
26902 Oso Pkwy
Ste 160
Mission Viejo, CA 92691-5801
Mailing address
26902 Oso Pkwy
Ste 160
Mission Viejo, CA 92691-5801
Phone (949) 582-3633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB259629 | Other | CA | MASS IMMUNIZATION ROSTER BILLER - NORIDIAN |
| 1215076260 | Medicaid | CA |
Other names 1
- Oso Medical Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160624000788 | CA | DME Supplier - Pharmacy | 7719278548 | Practice locations: Mission Viejo, CA |
| O20160819001943 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719278548 | Practice locations: Mission Viejo, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Dial Drug Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Mission Viejo, CA
- NPI 1275371452
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Barstow, CA
- NPI 1275853939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1215076260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26902 OSO PKWY",
"address_2": "STE 160",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915801",
"telephone_number": "949-582-3633",
"fax_number": "949-582-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26902 OSO PKWY",
"address_2": "STE 160",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915801",
"telephone_number": "949-582-3633",
"fax_number": "949-582-8264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIKU PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2025-09-19",
"certification_date": "2021-04-26",
"status": "A",
"authorized_official_last_name": "TA",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-582-3633"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY53671",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS IMMUNIZATION ROSTER BILLER - NORIDIAN",
"identifier": "CB259629",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215076260",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oso Medical Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oso Medical Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.