MDMX Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 50310 Issued in CA

Legal business name

MDMX CORPORATION

Doing business as

CORONA SPECIALTY PHARMACY

Practice address

1280 Corona Pointe CT
Ste 114
Corona, CA 92879-1770

Phone

(951) 278-1008

Fax

(951) 278-1009

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Mahealani Ahn, PHARM D

Title

Presdient/ Pic

Phone

(951) 278-1008

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CORONA SPECIALTY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1275852758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CORONA POINTE CT",
            "address_2": "STE 114",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791770",
            "telephone_number": "951-278-1008",
            "fax_number": "951-278-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CORONA POINTE CT",
            "address_2": "STE 114",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791770",
            "telephone_number": "951-278-1008",
            "fax_number": "951-278-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDMX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MAHEALANI",
        "authorized_official_title_or_position": "PRESDIENT/ PIC",
        "authorized_official_telephone_number": "951-278-1008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 50310",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50310",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY 50310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY PERMIT",
            "identifier": "PHY 50310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORONA SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig A. McLaughlin, LMFT
• Jadyn McLaughlin
• Joshua John McLeod
• Taylar McNeil
• Holland McWhorter
• Connor J Meaney, PA
• Medco Healthcare Medical Group Inc
• Schaylen Medeiros
• Medical Providers, Inc.
• Medical Support Los Angeles a Medical Corporation

• Community/Retail Pharmacy in Corona, CA
• Providers in Corona, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.