Active Care Pharmacy Inc
NPI 1477061745ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Fountain Valley, CA
Pharmacy, Long Term Care Pharmacy in Fountain Valley, California, registered in NPPES in January 2018. The authorized official on file is Tyrone Nguyen, Ceo/Owner. Medicare paid $9,205 for services to 58 patients in 2024.
Overview
| NPI | 1477061745 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2018 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | 55862 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 124 across 5 procedure codes |
| Paid by Medicare | $9,205 |
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