NPIMap

Organization Active NPI

Meds Envy Inc

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1487167730
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55832 Issued in CA
Legal business name
MEDS ENVY INC
Practice address
12873 Harbor Blvd Ste M3
Suite M-3
Garden Grove, CA 92840-5848
Phone
(217) 721-3435
Fax
(951) 943-1577
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Yong Soon ChangNPI 1053710616
Title
President
Phone
(714) 576-7987

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 55832 CA Primary

Addresses

Primary practice location

12873 Harbor Blvd Ste M3
Suite M-3
Garden Grove, CA 92840-5848

Mailing address

1849 Avenida del Norte
Fullerton, CA 92833-1820
Phone (714) 576-7987

Other identifiers 1

IdentifierTypeStateIssuer
2173133OtherPK

National Provider Directory

National Provider Directory
Tax ID family
Meds Envy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12873 Harbor Blvd
Ste M3
Garden Grove, CA 92840
Phone (217) 721-3435

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": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1487167730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 AVENIDA DEL NORTE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331820",
            "telephone_number": "714-576-7987",
            "fax_number": "951-943-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12873 HARBOR BLVD STE M3",
            "address_2": "SUITE M-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405848",
            "telephone_number": "217-721-3435",
            "fax_number": "951-943-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDS ENVY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YONG SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-576-7987"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.