Organization Active NPI

Miku Pharmacy Inc

  • Community/Retail Pharmacy
  • Mission Viejo, CA
National Provider Identifier
1215076260
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53671 Issued in CA
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

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Amanda TaNPI 1275853939
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CB259629OtherCAMASS IMMUNIZATION ROSTER BILLER - NORIDIAN
1215076260MedicaidCA

Other names 1

  • Oso Medical Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.