TYDUS GROUP (NPI# 1366083198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366083198 |
| Entity Type | Organization |
| Organization Name | TYDUS GROUP |
| Practice Address |
431 N Tustin Ave Ste 431-c Santa Ana CA 92705-3821 |
| Practice Telephone | 7147075115 |
| Practice Fax Number | 7145516822 |
| Mailing Telephone | 7147075115 |
| Mailing Fax Number | 7145516822 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | DR. TAN PHAM (SECRETARY/PIC) |
| Authorized Official Telephone | 7147075115 |
| Authorized Official Credential | PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY PERMIT | 57437 | 01 |
| Other Name | Type Code |
|---|---|
| BRIGHTSIDE SPECIALTY PHARMACY | Doing Business As Name - Organization |
| Street Address |
431 N TUSTIN AVE STE 431-C |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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 |
|---|---|---|---|---|
| 1851913867 | Oc Community Pharmacy Inc | Pharmacy | 809 S Main St Apt C, Santa Ana, CA 92701-6605 | 2020-05-13 |
| 1942836424 | Altamed Health Services Corp | Pharmacy | 2720 S Bristol St Rm 100, Santa Ana, CA 92704-6207 | 2020-03-17 |
| 1275163016 | Carejoy Pharmacy Inc | Pharmacy | 2708 Westminster Ave Ste 120, Santa Ana, CA 92706-2192 | 2020-01-21 |
| 1841781739 | Nimble Pharmacy, Inc | Pharmacy | 640 S Grand Ave # 106107, Santa Ana, CA 92705-4156 | 2018-05-25 |
| 1972012227 | Planet Health Inc | Pharmacy | 2001 E 4th St Ste 112, Santa Ana, CA 92705-3916 | 2017-09-29 |
| 1265965271 | Tran-rx, LLC | Pharmacy | 1106 E 17th St Ste B, Santa Ana, CA 92701-2603 | 2017-04-06 |
| 1235590555 | Santa Ana Pharmacy Health Center | Pharmacy | 1103 S Harbor Blvd, Santa Ana, CA 92704-2347 | 2016-03-14 |
| 1558721605 | Laura Pharmacy Inc | Pharmacy | 2525 Westminster Ave Ste E, Santa Ana, CA 92706-2143 | 2016-03-02 |
| 1346611225 | Kl Pharmacy Corporation | Pharmacy | 4718 W 1st St Ste 101, Santa Ana, CA 92703-3106 | 2015-10-17 |
| 1659797421 | Mtm Pharma Inc | Pharmacy | 2339 W 1st St, Santa Ana, CA 92703-3503 | 2014-03-17 |
| Find all providers in SANTA ANA | ||||
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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.