Organization Active NPI

Med Choice Pharmacy Inc

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1447625769
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53846 Issued in CA
Legal business name
MED CHOICE PHARMACY INC
Practice address
621 N Euclid St
B
Anaheim, CA 92801-4615
Phone
(714) 533-3080
Fax
(714) 533-3090
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Mr. Thomas N Duong, RPHNPI 1275995086
Title
Presidnet/Pic
Phone
(714) 533-3080

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53846 CA Primary

Addresses

Primary practice location

621 N Euclid St
B
Anaheim, CA 92801-4615

Mailing address

621 N Euclid St
B
Anaheim, CA 92801-4615
Phone (714) 533-3080

Other identifiers 1

IdentifierTypeStateIssuer
PHY 53846OtherCASTATE BOARD OF PHARMACY PERMIT

Other names 1

  • MED CHOICE 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
O20160708000800 CA DME Supplier - Pharmacy 8628360823 Practice locations: Anaheim, CA
O20180608002358 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8628360823 Practice locations: Anaheim, 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
Med Choice Pharmacy621 N Euclid St, Anaheim, CA 92801-4617(714) 533-3080 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 15, 2016

National Provider Directory

National Provider Directory

Locations

621 N Euclid St
Ste B
Anaheim, CA 92801
Phone (714) 533-3080

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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1447625769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N EUCLID ST",
            "address_2": "B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014615",
            "telephone_number": "714-533-3080",
            "fax_number": "714-533-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N EUCLID ST",
            "address_2": "B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014615",
            "telephone_number": "714-533-3080",
            "fax_number": "714-533-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CHOICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDNET/PIC",
        "authorized_official_telephone_number": "714-533-3080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 53846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED CHOICE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.