Active NPI
RX Advisors Inc
- Community/Retail Pharmacy
- Clovis, CA
National Provider Identifier
1255687489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY55976
- Legal business name
- RX ADVISORS INC
- Practice address
- 2101 Herndon Ave
Clovis, CA 93611-6300 - Phone
- (559) 298-0600
- Fax
- (559) 325-2226
- NPI assigned
- Jul 25, 2012
- 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
- Tony Minh Ta, RPH
- Title
- Pic
- Phone
- (559) 298-0600
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 50969 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY55976 | Primary | |
| Compounding Pharmacy | 3336C0004X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
2101 Herndon Ave
Clovis, CA 93611-6300
Mailing address
2101 Herndon Ave
Clovis, CA 93611-6300
Phone (559) 298-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5644441 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- MixMed Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210818002021 | CA | Part B Supplier - Pharmacy | 1759786445 | Practice locations: Clovis, CA |
National Provider Directory
National Provider DirectoryLocations
2101 Herndon Ave
Clovis, CA 93611
Phone (559) 298-0600
2101 Herndon Ave
Ste 102
Clovis, CA 93611
Phone (559) 298-0600
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
- Clovis, CA
- NPI 1407369275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1255687489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116300",
"telephone_number": "559-298-0600",
"fax_number": "559-325-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116300",
"telephone_number": "559-298-0600",
"fax_number": "559-325-2226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX ADVISORS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-25",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "TA",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "MINH",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "559-298-0600",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "50969",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": "PHY55976",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5644441",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MixMed Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MixMed Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.