Han Sam Corp

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

51942 Issued in CA

Legal business name

HAN SAM CORP

Practice address

16782 Von Karman Ave Ste 12
Irvine, CA 92606-2417

Phone

(949) 393-5780

Fax

(949) 393-5790

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Hany Samuel Benjamin

Title

Ceo

Phone

(949) 292-2686

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• River's Edge Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Han Sam Corp

  • Pharmacy
  • Palm Desert, CA
  • NPI 1689823486

  5092908020

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Four Seasons Pharmacy Inc

  • Long Term Care Pharmacy
  • La Palma, CA
  • NPI 1750667986

  O20110419000305

  Same enrollment
• Han Sam Corp

  • Pharmacy
  • Palm Desert, CA
  • NPI 1689823486

  O20110419000305, O20220805001010

  Same enrollment

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

Tax ID family

Han Sam Corp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Han Sam Corp

  • Home Infusion Agency
  • Palm Desert, CA
  • NPI 1225737034
  NPD tax ID
• Han Sam Corp

  • Home Infusion Agency
  • Irvine, CA
  • NPI 1386343192
  NPD tax ID
• Han Sam Corp

  • Pharmacy
  • Palm Desert, CA
  • NPI 1689823486
  NPD tax ID
• Han Sam Corp

  • Infusion Therapy Clinic/Center
  • Riverside, CA
  • NPI 1770081887
  NPD tax ID
• Han Sam Corp

  • Infusion Therapy Clinic/Center
  • Grass Valley, CA
  • NPI 1861050502
  NPD tax ID

Locations

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1508315128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE STE 12",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062417",
            "telephone_number": "949-393-5780",
            "fax_number": "949-393-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE STE 12",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062417",
            "telephone_number": "949-393-5780",
            "fax_number": "949-393-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN SAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-292-2686"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "51942",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "51942",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "51942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508315128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River's Edge Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nahid Hamoui, MD
• Larry Gene Hampsten, DDS
• Han Medical Services
• Han Professional Dental Corporation
• Han Sam Corp
• Ashley Haein Han, BCBA
• Bokyung Han, DDS
• Caroline Han, LAC
• Caroline M. Han, MD
• Catherine Y Han, MD

• Home Infusion Therapy Pharmacy in Irvine, CA
• Providers in Irvine, CA by specialty
• Home Infusion Therapy Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.