Organization Active NPI

RX Meds Pharmaceutical

Doing business as Medcare Family Pharmacy

  • Community/Retail Pharmacy
  • Santa Ana, CA
National Provider Identifier
1235579376
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX MEDS PHARMACEUTICAL
Doing business as
Medcare Family Pharmacy
Practice address
1710 S Main St
Santa Ana, CA 92707
Phone
(714) 953-7538
Fax
(714) 953-7549
NPI assigned
Jul 3, 2013
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
David M Donner
Title
Owner
Phone
(562) 760-1969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 51643 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1710 S Main St
Santa Ana, CA 92707

Mailing address

1710 S Main St
Santa Ana, CA 92707
Phone (714) 953-7538

Other practice location 1

9143 Valley Blvd Ste 101B
Rosemead, CA 91770-1993
Phone (714) 889-0326

Other identifiers 2

IdentifierTypeStateIssuer
PHY57805OtherCACALIFORNIA BOARD OF PHARMACY PERMIT
1174981583MedicaidCA

Other names 1

  • Medcare Family Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220118000205 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4880006105 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1710 S Main St
Santa Ana, CA 92707
Phone (714) 953-7538

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1235579376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92707",
            "telephone_number": "714-953-7538",
            "fax_number": "714-953-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92707",
            "telephone_number": "714-953-7538",
            "fax_number": "714-953-7549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9143 Valley Blvd Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701993",
            "country_code": "US",
            "telephone_number": "714-889-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RX MEDS PHARMACEUTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-760-1969"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 51643",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY PERMIT",
            "identifier": "PHY57805",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174981583",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.