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MODERN HEALTH PHARMACY - SD
NPI 1508094558
Pharmacy - Long Term Care Pharmacy in San Diego, CA

Active since June 29, 2009
13220 EVENING CREEK DR S, STE 110, SAN DIEGO, CA 92128(858) 668-3350(858) 668-3352 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2017, Oct 10, 2016 (2 updates tracked since 2016).

About Modern Health Pharmacy - Sd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN HEALTH PHARMACY - SD (NPI 1508094558) is a healthcare organization registered as a long term care pharmacy in San Diego, California and active in the NPI registry since June 2009. The organization lists Shannon Chou, Director, Business Operations, as its authorized official.

NPPES Registry Identity

NPI1508094558
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMODERNHEALTH HOLDINGS INC
Location Address13220 EVENING CREEK DR S, STE 110San Diego, CA 92128-4103
Mailing Address110 E Huntington DrMonrovia, CA 91016-3415 · (858) 668-3350 · Fax (858) 668-3352
Phone(858) 668-3350
Fax(858) 668-3352
Organization SubpartNo
Authorized OfficialShannon ChouDirector, Business Operations · (626) 932-1721
Enumeration DateJune 29, 2009
Last NPPES UpdateApril 19, 20172 updates tracked since enumeration
✔ NPI 1508094558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in CA · PHY51002
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
13220 EVENING CREEK DR S, San Diego, CA 92128
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Other Names 1

Doing Business AsModern Health Pharmacy - Sd

Other Identifiers 3

Medicare NSC6706700001
Medicaid1508094558CA
Other2121362Pk

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REAL WORLD ENTERPRISES
Pharmacy (Long Term Care Pharmacy)
13220 EVENING CREEK DR S, SUITE 110
SAN DIEGO, CA 92128
San Diego County (858) 668-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modernhealth Holdings Inc's NPI number?

The NPI number for Modernhealth Holdings Inc is 1508094558. It was assigned to this organization in the NPPES registry on June 29, 2009. The provider is doing business as Modern Health Pharmacy - Sd.

Where is Modernhealth Holdings Inc located?

Modernhealth Holdings Inc is located at 13220 Evening Creek Dr S Ste 110, San Diego, CA 92128. The listed phone number is (858) 668-3350.

What is Modernhealth Holdings Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Modernhealth Holdings Inc was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.