Organization Active NPI

Mka Pharmacy Corporation

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1689730954
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48298 Issued in CA
Legal business name
MKA PHARMACY CORPORATION
Practice address
14571 Magnolia St
Ste 104
Westminster, CA 92683-5574
Phone
(714) 893-2697
Fax
(714) 893-3897
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Kevin Hoang Dinh, PHARM.D.NPI 1881357333
Title
Ceo
Phone
(714) 893-2697

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
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY48298 CA Primary

Addresses

Primary practice location

14571 Magnolia St
Ste 104
Westminster, CA 92683-5574

Mailing address

14571 Magnolia St
Ste 104
Westminster, CA 92683-5574
Phone (714) 893-2697

Other identifiers 2

IdentifierTypeStateIssuer
5625011OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA482980MedicaidCA

Other names 1

  • MAY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930082608 CA DME Supplier - Pharmacy 1557564135 Practice locations: Westminster, 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
May Pharmacy14571 Magnolia St, Westminster, CA 92683-5575(714) 893-2697 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory

Locations

14571 Magnolia St
Ste 104
Westminster, CA 92683
Phone (714) 893-2697

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1689730954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST",
            "address_2": "STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835574",
            "telephone_number": "714-893-2697",
            "fax_number": "714-893-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST",
            "address_2": "STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835574",
            "telephone_number": "714-893-2697",
            "fax_number": "714-893-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKA PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-893-2697",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5625011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA482980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.