Organization Active NPI

SMS and Drug Inc

  • Community/Retail Pharmacy
  • Irvine, CA
National Provider Identifier
1376589762
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48763 Issued in CA
Legal business name
SMS AND DRUG INC
Practice address
16300 Sand Canyon Ave
Suite 101
Irvine, CA 92618-3711
Phone
(949) 453-9789
Fax
(949) 453-9235
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Sau Tran, BSNPI 1619582962
Title
Pic
Phone
(949) 453-9789

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48763 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

16300 Sand Canyon Ave
Suite 101
Irvine, CA 92618-3711

Mailing address

16300 Sand Canyon Ave
Suite 101
Irvine, CA 92618-3711
Phone (949) 453-9789

Other identifiers 3

IdentifierTypeStateIssuer
1376589762MedicaidCA
5617836OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA487630MedicaidCA

Other names 1

  • IRVINE MEDICAL CENTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930028802 CA DME Supplier - Pharmacy 8628276151 Practice locations: Irvine, CA
O20210201002685 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8628276151 Practice locations: Irvine, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Irvine Medical Center Pharmacy16300 Sand Canyon Ave, Irvine, CA 92618-3704(949) 453-9789 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Mar 23, 2009

National Provider Directory

National Provider Directory

Locations

16300 Sand Canyon Ave
Ste 101
Irvine, CA 92618
Phone (949) 453-9789

Practitioners & affiliated clinicians

Practitioners 5

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1376589762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-453-9789",
            "fax_number": "949-453-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-453-9789",
            "fax_number": "949-453-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMS AND DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SAU",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "949-453-9789",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48763",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376589762",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5617836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA487630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRVINE MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.