MODERN DRUG INC NPI 1760455711

NPI Information

  • NPI: 1760455711
  • Provider Name: MODERN DRUG INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: MODERN DRUG
  • Address: 3044 TULARE ST
    FRESNO, CA
    ZIP 93721
  • Phone: (559) 266-0701

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NPI Details

MODERN DRUG INC is a pharmacy in Fresno, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MODERN DRUG INC NPI is 1760455711. The provider is registered as an organization entity type.
The provider Is Doing Business As Modern Drug.

The provider's business location address is:

3044 TULARE ST
FRESNO, CA
ZIP 93721
Phone: (559) 266-0701
Fax: (559) 266-2438

The provider's authorized official is Chan B Luong .
The authorized official title is President and has the following contact phone number (559) 266-0701.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 3/25/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHY43219CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHA432190MEDICAIDCALIFORNIA
26305080001MEDICARE 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: 11/21/2025

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