Meds Envy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55830 Issued in CA

Legal business name

MEDS ENVY, INC.

Practice address

404 E 4TH St
Perris, CA 92570-2201

Phone

(951) 943-1575

Fax

(951) 943-1577

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Yong Soon ChangNPI 1053710616

Title

President

Phone

(951) 943-1575

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• MY TOWN PHARMACY Doing business as
• MY TOWN PHARMCY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Meds Envy Inc

  • Community/Retail Pharmacy
  • Buena Park, CA
  • NPI 1669985917

  O20180614002110

  Same enrollment

Tax ID family

Meds Envy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Meds Envy Inc

  • Community/Retail Pharmacy
  • Garden Grove, CA
  • NPI 1487167730
  NPD tax ID
• Meds Envy Inc

  • Community/Retail Pharmacy
  • Buena Park, CA
  • NPI 1669985917
  NPD tax ID

Locations

Practitioners 5

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

• Yong Soon Chang, PHARMD

  • Pharmacist
  • Perris, CA
  • NPI 1053710616
  NPD (past) Authorized official
• Jiwoo Lee, RPH

  • Pharmacist
  • Buena Park, CA
  • NPI 1386383230
  NPD (past)
• Jinyoung Park

  • Pharmacist
  • Buena Park, CA
  • NPI 1285390039
  NPD (past)
• Leilani Tran

  • Pharmacist
  • Perris, CA
  • NPI 1003226952
  NPD (past)
• Sohee Ahn, PHARMD

  • Pharmacist
  • New Haven, CT
  • NPI 1649894387
  NPD (past)

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1992109722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702201",
            "telephone_number": "951-943-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702201",
            "telephone_number": "951-943-1575",
            "fax_number": "951-943-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDS ENVY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YONG SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-943-1575"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992109722",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY TOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MY TOWN PHARMCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine M McNees-Kelly, CATC
• MD Senior Care Medical Group, Inc.
• Kimberly Ann Medcraft
• Erika Medina de Flores
• Medperx Pharmacy LLC
• Adriana Patricia Mejia, M.S., LMFT
• Marlene Mejia
• Nubia Mejia
• Sylvia Mejia
• Melanin Youth Foundation

• Community/Retail Pharmacy in Perris, CA
• Providers in Perris, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.