Irvine Medical Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY42046 Issued in CA

Legal business name

IRVINE MEDICAL PHARMACY INC

Doing business as

Irvine Medical Pharmacy Inc

Practice address

14130 Culver Dr
Ste D
Irvine, CA 92604-0314

Phone

(949) 552-7777

Fax

(949) 552-7292

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Nasser Fathi, PHRM

Title

Pic

Phone

(949) 552-7777

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• IRVINE MEDICAL PHARMACY INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Young Oh, RPH

  • Pharmacist
  • Irvine, CA
  • NPI 1225567639
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1326125295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 CULVER DR",
            "address_2": "STE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040314",
            "telephone_number": "949-552-7777",
            "fax_number": "949-552-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 CULVER DR",
            "address_2": "STE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040314",
            "telephone_number": "949-552-7777",
            "fax_number": "949-552-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "FATHI",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "949-552-7777",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY42046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0568634",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA420460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRVINE MEDICAL PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Irvine, CA
• Providers in Irvine, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.