Organization Active NPI

RX Advisors Inc

  • Community/Retail Pharmacy
  • Clovis, CA
National Provider Identifier
1255687489
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Tony Minh Ta, RPHNPI 1407369275
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5644441OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MixMed Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818002021 CA Part B Supplier - Pharmacy 1759786445 Practice locations: Clovis, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.