Modern Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53920 Issued in CA

Legal business name

MODERN DRUG INC

Doing business as

Modern Drug

Practice address

10672 Chapman Ave Ste 5
Garden Grove, CA 92840-3103

Phone

(714) 867-6502

Fax

(714) 867-6487

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Quoc LuongNPI 1497219638

Title

Pic

Phone

(714) 867-6502

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Modern Drug 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.

• Quoc Luong, PHARMD

  • Pharmacist
  • Fresno, CA
  • NPI 1497219638
  NPD (past) Authorized official

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1447610191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10672 CHAPMAN AVE STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403103",
            "telephone_number": "714-867-6502",
            "fax_number": "714-867-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10672 CHAPMAN AVE STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403103",
            "telephone_number": "714-867-6502",
            "fax_number": "714-867-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "QUOC",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "714-867-6502"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158307",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Jean Mizer, BA
• Clayton Mizutari, B.A.
• MK Health Center
• Ziyu Mo
• Mobile Medical Group of California
• Modernhealth Specialty (PX), LLC (ModernHEALTH Pharmacy)
• Mohammad Abul-Fielat DDS Inc
• Mohammad Abul-Fielat DDS Inc
• Samantha Alexandra Mohammed
• Hosna Mohebi, HIGH SCHOOL DIPLOMA

• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, 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 Oct 24, 2016; 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.