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Modern Drug Inc

NPI 1134128655ActiveOrganization· Pharmacy· Fresno, CA

Pharmacy in Fresno, California, registered in NPPES in July 2005. The authorized official on file is Kimphi Thi Le, RPH, Pic/Treasurer. Medicare paid $10,646 for services to 65 patients in 2024.

Overview

NPI1134128655
StatusActive
Entity typeOrganization
NPI issuedJul 18, 2005
Last updated in NPPESFeb 24, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPHY48897CA
Durable Medical Equipment & Medical Supplies332B00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients65
Services billed164 across 8 procedure codes
Paid by Medicare$10,646

Medicare sources and data years

Other Pharmacy providers in Fresno

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