MODERN DRUG – NPI #1760455711
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

MODERN DRUG is a pharmacy located in FRESNO, CA. NPPES has assigned the NPI number 1760455711 to MODERN DRUG on February 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MODERN DRUG” is a dba name, the actual legal business name for this organization is MODERN DRUG INC. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 16 years ago on Mar 25, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODERN DRUG below.

NPI Profile for
MODERN DRUG INC

NPI Number
1760455711
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MODERN DRUG INC
Doing Business As (dba): MODERN DRUG
Primary location
3044 TULARE ST
FRESNO, CA 93721
Phone: (559) 266-0701 Fax: (559) 266-2438
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHAN LUONG
PRESIDENT
Phone: (559) 266-0701
Updated
Identifiers

Identifiers for MODERN DRUG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAPHA432190
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)		 CA PHY43219

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.