Organization Active NPI

D-Professional RX Inc

  • Community/Retail Pharmacy
  • Fountain Valley, CA
National Provider Identifier
1720144603
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
D-PROFESSIONAL RX INC
Practice address
9114 Edinger Ave
Fountain Valley, CA 92708-1437
Phone
(714) 841-6700
Fax
(714) 841-6788
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Denise Tuong Le, PHARM DNPI 1316468424
Title
President/Ceo
Phone
(714) 841-6700

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9114 Edinger Ave
Fountain Valley, CA 92708-1437

Mailing address

9114 Edinger Ave
Fountain Valley, CA 92708-1437
Phone (714) 841-6700

Other identifiers 1

IdentifierTypeStateIssuer
PHY58810OtherCABOARD OF PHARMACY

Other names 1

  • D 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
O20230515001316 CA DME Supplier - Pharmacy 5890151039 Practice locations: Fountain Valley, CA
O20230808000920 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5890151039 Practice locations: Fountain Valley, 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
D Pharmacy9114 Edinger Ave, Fountain Valley, CA 92708-1437(714) 841-6700 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Enteral Nutrients|Surgical Dress… Accepts assignmentParticipating since Jul 24, 2023

National Provider Directory

National Provider Directory

Locations

9114 Edinger Ave
Fountain Valley, CA 92708
Phone (714) 841-6700

Practitioners & affiliated clinicians

Practitioners 2

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1720144603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 EDINGER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081437",
            "telephone_number": "714-841-6700",
            "fax_number": "714-841-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 EDINGER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081437",
            "telephone_number": "714-841-6700",
            "fax_number": "714-841-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-PROFESSIONAL RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "TUONG",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-841-6700",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.