Organization Active NPI

Value RX Pharmacy

  • Community/Retail Pharmacy
  • Irvine, CA
National Provider Identifier
1215281373
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55794 Issued in CA
Legal business name
VALUE RX PHARMACY
Doing business as
VALUE RX PHARMACY
Practice address
22 Odyssey
Ste 135
Irvine, CA 92618-3193
Phone
(949) 387-1133
Fax
(949) 387-3310
NPI assigned
Oct 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Dr. Jason Le DO, PHARMDNPI 1144867227
Title
Ceo/Pic/Owner
Phone
(949) 387-1133

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 55794 CA Primary

Addresses

Primary practice location

22 Odyssey
Ste 135
Irvine, CA 92618-3193

Mailing address

22 Odyssey Ste 135
Irvine, CA 92618-3193
Phone (949) 387-1133

Other identifiers 3

IdentifierTypeStateIssuer
5647221OtherCANCPDP
55794OtherCABOARD OF PHARMACY PERMIT
2139906OtherPK

Other names 1

  • VALUE RX PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119001309 CA DME Supplier - Pharmacy 6002341757 Practice locations: Irvine, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Value RX Pharmacy22 Odyssey, Irvine, CA 92618-3193(949) 387-1133 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 20, 2024

National Provider Directory

National Provider Directory

Locations

22 Odyssey
Ste 135
Irvine, CA 92618
Phone (949) 387-1133

Practitioners & affiliated clinicians

Practitioners 3

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": "1351382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1215281373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183193",
            "telephone_number": "949-387-1133",
            "fax_number": "949-387-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "STE 135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183193",
            "telephone_number": "949-387-1133",
            "fax_number": "949-387-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE RX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "CEO/PIC/OWNER",
        "authorized_official_telephone_number": "949-387-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "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": "55794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5647221",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "55794",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALUE RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALUE RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.