Han Sam Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY49157 Issued in CA

Legal business name

HAN SAM CORP

Practice address

36919 Cook St Ste 102
Palm Desert, CA 92211-6069

Phone

(760) 340-3248

Fax

(760) 340-3258

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Hany Benjamin

Title

Ceo

Phone

(760) 340-3248

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• River's Edge Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

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

  • Home Infusion Therapy Pharmacy
  • Irvine, CA
  • NPI 1508315128

  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

  • Home Infusion Therapy Pharmacy
  • Irvine, CA
  • NPI 1508315128

  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

  • Home Infusion Therapy Pharmacy
  • Irvine, CA
  • NPI 1508315128
  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": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1689823486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36919 COOK ST",
            "address_2": "SUITE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116069",
            "telephone_number": "760-340-3248",
            "fax_number": "760-340-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36919 COOK ST STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116069",
            "telephone_number": "760-340-3248",
            "fax_number": "760-340-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN SAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-340-3248"
    },
    "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": "PHY49157",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689823486",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River's Edge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duania Hall
• Lilliana S Ham
• Sumayya Hameed, DMD
• Jack Nelson Hamilton, DMD, MS
• Han Sam Corp
• Christine Han
• Christopher Rigas Hancock, M.D.
• Hands Working Virtually Inc
• Nayla Hangalay
• Hanna and Rygg Dental Corporation

• Pharmacy in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.