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Modern Drug Inc

NPI 1760455711ActiveOrganization· Pharmacy· Fresno, CA

Pharmacy in Fresno, California, registered in NPPES in February 2006. The authorized official on file is Chan B. Luong, RPH, President. Medicare paid $4,560 for services to 21 patients in 2024.

Overview

NPI1760455711
StatusActive
Entity typeOrganization
NPI issuedFeb 9, 2006
Last updated in NPPESMar 25, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPHY43219CA

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); Part B Supplier - Mass Immunization (Roster Biller Only) (CA); Part B Supplier - Pharmacy (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients21
Services billed56 across 8 procedure codes
Paid by Medicare$4,560

Medicare sources and data years

Other Pharmacy providers in Fresno

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