Mikmara Inc
Community/Retail Pharmacy
333 C St Ste 100, San Diego
California, 92101-4809
619-232-8101 619-232-8855
Mikmara Inc is an authorized DME supplier for medicare equipments and products.
Mikmara Inc is a Community/Retail Pharmacy in San Diego, California. It is located at 333 C St Ste 100, San Diego and it's customer support contact number is 619-232-8101. The authorized person of Mikmara Inc is Kim Phung who is Owner of the pharmacy and his contact number is 619-708-1797. Active license number of Mikmara Inc is PHY48339 for Community/Retail Pharmacy in California. Mikmara Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mikmara 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:
Mikmara 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: | Mikmara Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 333 C St Ste 100, San Diego, California, 92101-4809 |
| Phone: | 619-232-8101 |
| Fax: | 619-232-8855 |
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: | Kim Phung |
| Position: | Owner |
| Contact Number: | 619-708-1797 |
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: | 1659436079 |
| NPI Enumeration Date: | 26 Dec, 2006 |
| NPI Last Update On: | 24 Nov, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mikmara Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY48339 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding 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 |
| 1992766 | Other | | Pk |
Medicare Enrollment:
Mikmara 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 |
| 1153526124 | O20100930011819 | Mikmara Inc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 333 C St Ste 100, San Diego, California |
| Zip: | 92101-4809 |
| Phone Number: | 619-232-8101 |
| Fax Number: | 619-232-8855 |
Patients can reach Mikmara Inc at
333 C St Ste 100, San Diego, California or can
call on customer care at 619-232-8101.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.