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HAN SAM CORP NPI 1508315128


NPI Information

NPI: 1508315128
Provider Name: HAN SAM CORP

Doing Business As: RIVER'S EDGE SPECIALTY PHARMACY

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
17332 VON KARMAN AVE STE 110
IRVINE, CA
ZIP 92614
Phone: (949) 393-5780
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HAN SAM CORP is a home infusion therapy pharmacy pharmacy in Irvine, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. HAN SAM CORP NPI is 1508315128. The provider is registered as an organization entity type.
The provider Is Doing Business As River's Edge Specialty Pharmacy.

The provider's business location address is:

17332 VON KARMAN AVE STE 110
IRVINE, CA
ZIP 92614-280
Phone: (949) 393-5780
Fax: (949) 393-5790

The provider's authorized official is Hany Samuel Benjamin .
The authorized official title is Ceo and has the following contact phone number (949) 292-2686.

The enumeration date for this NPI number is 9/23/2016 and was last updated on 12/21/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy51942CALIFORNIANo
33336S0011XPharmacySpecialty Pharmacy51942CALIFORNIANo
43336H0001XPharmacyHome Infusion Therapy Pharmacy51942CALIFORNIAYes

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
11508315128MEDICAIDCALIFORNIA

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: 4/28/2024

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