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MODERNHEALTH HOLDINGS INC NPI 1861495863


NPI Information

NPI: 1861495863
Provider Name: MODERNHEALTH HOLDINGS INC

Doing Business As: MODERN HEALTH PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
110 E HUNTINGTON DR
MONROVIA, CA
ZIP 91016
Phone: (626) 932-1600
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MODERNHEALTH HOLDINGS INC is a long term care pharmacy pharmacy in Monrovia, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MODERNHEALTH HOLDINGS INC NPI is 1861495863. The provider is registered as an organization entity type.
The provider Is Doing Business As Modern Health Pharmacy.

The provider's business location address is:

110 E HUNTINGTON DR
MONROVIA, CA
ZIP 91016-415
Phone: (626) 932-1600
Fax: (626) 605-5022

The provider's authorized official is Shannon Chou .
The authorized official title is Director, Business Operations and has the following contact phone number (626) 932-1721.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 4/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyPHY51001CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11993198OTHERPK
2PHA440130MEDICAIDCALIFORNIA
36706700002MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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