Modern Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY43219 Issued in CA

Legal business name

MODERN DRUG INC

Doing business as

Modern Drug

Practice address

3044 Tulare St
Fresno, CA 93721

Phone

(559) 266-0701

Fax

(559) 266-2438

NPI assigned

Feb 9, 2006

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chan B Luong, RPH

Title

President

Phone

(559) 266-0701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MODERN DRUG 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).

• Modern Drug Inc

  dba Tous Pharmacy

  • Pharmacy
  • Fresno, CA
  • NPI 1134128655

  2466652326

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Modern Drug Inc

  dba Tous Pharmacy

  • Pharmacy
  • Fresno, CA
  • NPI 1134128655

  O20210913002658, O20211115000200

  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

Modern Drug Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Modern Drug Inc

  dba Tous Pharmacy

  • Pharmacy
  • Fresno, CA
  • NPI 1134128655
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quoc Luong, PHARMD

  • Pharmacist
  • Fresno, CA
  • NPI 1497219638
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1760455711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93721",
            "telephone_number": "559-266-0701",
            "fax_number": "559-266-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93721",
            "telephone_number": "559-266-0701",
            "fax_number": "559-266-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "CHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-266-0701",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY43219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA432190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Mochizuki, M.D.
• Laura Elizabeth Mock
• Meredith Cole Mock, D.D.S.
• Nathan Mock
• Modern Drug Inc (Tous Pharmacy)
• Modern Medicine Inc.
• Modern Molecular Imaging LLC
• Ryan Moench
• Veronica Moffitt, PA-C
• Shanon Mogadam, LVN

• Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.