Organization Active NPI

Medhealth Inc

Doing business as MedHealth Pharmacy

  • Community/Retail Pharmacy
  • Fountain Valley, CA
National Provider Identifier
1811715188
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDHEALTH INC
Doing business as
MedHealth Pharmacy
Practice address
11100 Warner Ave Ste 1
Fountain Valley, CA 92708-7500
Phone
(657) 300-6633
Fax
(657) 300-6633
NPI assigned
Sep 26, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Kathy Phuong Thao Bui, RPHNPI 1790500452
Title
Owner/President & Ceo
Phone
(657) 300-6633

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 NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

11100 Warner Ave Ste 1
Fountain Valley, CA 92708-7500

Mailing address

11100 Warner Ave Ste 1
Fountain Valley, CA 92708-7500
Phone (714) 623-4838

Other names 1

  • MedHealth Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 1
Fountain Valley, CA 92708
Phone (657) 300-6633

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1811715188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 1",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087500",
            "telephone_number": "714-623-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 1",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087500",
            "telephone_number": "657-300-6633",
            "fax_number": "657-300-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "PHUONG THAO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT & CEO",
        "authorized_official_telephone_number": "657-300-6633",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedHealth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedHealth 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 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.