Modernhealth Specialty (PX), LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MODERNHEALTH SPECIALTY (PX), LLC

Practice address

7373 Lincoln Way
Garden Grove, CA 92841-1428

Phone

(800) 228-3643

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Sherri Cherman, PHARM

Title

President/Coo

Phone

(626) 932-1603

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ModernHEALTH Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Bui, PHARMD

  • Pharmacist
  • Garden Grove, CA
  • NPI 1467262535
  NPD (past)
• Nina Hoang, PHARMD

  • Pharmacist
  • Garden Grove, CA
  • NPI 1023695921
  NPD (past)
• Natalie Nguyen

  • Pharmacist
  • Garden Grove, CA
  • NPI 1568954840
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1942541982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E HUNTINGTON DR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163415",
            "telephone_number": "626-932-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 LINCOLN WAY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411428",
            "telephone_number": "800-228-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERNHEALTH SPECIALTY (PX), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "CHERMAN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "626-932-1603",
        "authorized_official_credential": "PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5646863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ModernHEALTH Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clayton Mizutari, B.A.
• MK Health Center
• Ziyu Mo
• Mobile Medical Group of California
• Modern Drug Inc
• Mohammad Abul-Fielat DDS Inc
• Mohammad Abul-Fielat DDS Inc
• Samantha Alexandra Mohammed
• Hosna Mohebi, HIGH SCHOOL DIPLOMA
• Courdin Moheng, RPE-SLP, M.A.

• Pharmacy in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.