Fairview Mtm Pharma, Inc
Community/Retail Pharmacy
1002 N Fairview St, Santa Ana
California, 92703-1811
714-881-0012 714-486-2378
Fairview Mtm Pharma, Inc is a Community/Retail Pharmacy in Santa Ana, California. It is located at 1002 N Fairview St, Santa Ana and it's customer support contact number is 714-881-0012. The authorized person of Fairview Mtm Pharma, Inc is Mrs. Denise T. Le who is President/ceo/pic of the pharmacy and her contact number is 714-881-0012. Active license number of Fairview Mtm Pharma, Inc is PHY54449 for Community/Retail Pharmacy in California. Fairview Mtm Pharma, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fairview Mtm Pharma, Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Fairview Mtm Pharma, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Fairview Mtm Pharma, Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 1002 N Fairview St, Santa Ana,
California, 92703-1811 |
| Phone: | 714-881-0012 |
| Fax: | 714-486-2378 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Denise T. Le |
| Position: | President/ceo/pic |
| Contact Number: | 714-881-0012 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417306200 |
| NPI Enumeration Date: | 13 Jun, 2016 |
| NPI Last Update On: | 20 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fairview Mtm Pharma, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY54449 | California | Primary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1417306200 | Medicaid | California | |
| PHY 54449 | Other | California | California State Board Of Pharmacy Permit |
Medicare Enrollment:
Fairview Mtm Pharma, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9335424456 | O20170331001350 | Fairview Mtm Pharma Inc | DME SUPPLIER - PHARMACY |
Products Available:
Fairview Mtm Pharma, Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Enteral Nutrients | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Surgical Dressings |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1002 N Fairview St,
Santa Ana, California |
| Zip: | 92703-1811 |
| Phone Number: | 714-881-0012 |
| Fax Number: | 714-881-4321 |
Patients can reach Fairview Mtm Pharma, Inc at
1002 N Fairview St, Santa Ana, California or can
call on customer care at 714-881-0012.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.