FULLERTON MEDICAL PHARMACY INC (NPI# 1164692745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692745 |
| Entity Type | Organization |
| Organization Name | FULLERTON MEDICAL PHARMACY INC |
| Other Organization Name | FULLERTON MEDICAL PHARMACY |
| Practice Address |
1401 S Brookhurst Rd Ste 101 Fullerton CA 92833-4471 |
| Practice Telephone | 7149924908 |
| Practice Fax Number | 7149922554 |
| Mailing Telephone | 7149924908 |
| Mailing Fax Number | 7149922554 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | INSEEK HAM (HEAD PHARMACIST/OWNER) |
| Authorized Official Telephone | 7149924908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50547 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2129447 | 01 | |
| CA | 6513510001 | 05 |
| Other Name | Type Code |
|---|---|
| Fullerton Medical Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862257 | Fullerton Medical Pharmacy Inc | Pharmacy | 1401 S Brookhurst Rd Ste 101, Fullerton, CA 92833-4492 | 2020-05-13 |
| Street Address |
1401 S BROOKHURST RD STE 101 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669493094 | Richard Soung Bien | Physical Therapist | 1401 S Brookhurst Rd, Suite 105, Fullerton, CA 92833-4403 | 2006-07-21 |
| 1952852204 | Faith Mideum Lee | Pharmacist | 1401 S Brookhurst Rd, Fullerton, CA 92833-4471 | 2016-10-21 |
| 1962867663 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 1401 S Brookhurst Rd, Ste 108/109, Fullerton, CA 92833-4492 | 2015-12-22 |
| 1669870473 | John C. Kang, Md, A Professional Corporation | Surgery | 1401 S Brookhurst Rd, Suite 111, Fullerton, CA 92833-4471 | 2014-12-10 |
| 1295175859 | Bom Seok Jeon | Dentist | 1401 S Brookhurst Rd, Ste 104, Fullerton, CA 92833-4492 | 2013-06-27 |
| 1861767378 | Bio-medical Applications of California Inc. | Clinic/Center | 1401 S Brookhurst Rd, Fullerton, CA 92833-4471 | 2012-03-16 |
| 1407096332 | Paul Choong Hwan Lee Md A Medical Corporation | Ophthalmology | 1401 S Brookhurst Rd, Suite 105, Fullerton, CA 92833-4471 | 2009-03-05 |
| 1104933183 | Specialty Medical Center, Inc | Internal Medicine | 1401 S Brookhurst Rd, Suit 100, Fullerton, CA 92833 | 2006-08-24 |
| 1699789479 | Joy Hyunae Kim | Chiropractor | 1401 S Brookhurst Rd, Ste 103, Fullerton, CA 92833-4471 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1780058073 | Cvs Pharmacy 7079 | Pharmacy | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2015-11-24 |
| 1538359856 | F & N Pharma,inc. | Pharmacy | 301 W Bastanchury Rd # 100b, Fullerton, CA 92835-3419 | 2007-08-01 |
| 1063457968 | Garfield Beach Cvs LLC | Pharmacy | 312 N Euclid St, Fullerton, CA 92832-1623 | 2006-06-17 |
| 1831134725 | Garfield Beach Cvs LLC | Pharmacy | 455 N State College Blvd, Fullerton, CA 92831-4258 | 2006-06-17 |
| 1639110554 | Garfield Beach Cvs LLC | Pharmacy | 1823 W Orangethorpe Ave, Fullerton, CA 92833-4405 | 2006-06-10 |
| 1770063398 | Kin Lim Chu | Pharmacy | 1823 W Orangethorpe Ave, Fullerton, CA 92833-4405 | 2018-08-14 |
| 1083860084 | Benjamin Rothman A Pharmacy Corporation | Pharmacy | 100 E Valencia Mesa Dr, Suite 106, Fullerton, CA 92835-3813 | 2008-08-11 |
| 1437237666 | C.k.c. Investment,inc. | Pharmacy | 100 E Valencia Mesa Dr, Fullerton, CA 92835-3813 | 2006-11-02 |
| 1255441853 | Costco Wholesale Corporation | Pharmacy | 900 S Harbor Blvd, Fullerton, CA 92832 | 2006-08-30 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.