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Export Provider Record NPI 1275852758
Mdmx Corporation
Organization Subpart: NO
Active
NPI Number1275852758
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1275852758
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-05-24
Last Updated2010-05-24
Authorized OfficialDiane Ahn
PRESDIENT/ PIC
Phone: 9512781008
Mailing Address1280 Corona Pointe Ct, Ste 114
Corona, CA 92879-1770
United States
Phone: (951) 278-1008 | Fax: (951) 278-1009
📍 View Map
Primary Practice Address1280 Corona Pointe Ct, Ste 114
Corona, CA 92879-1770
United States
Phone: (951) 278-1008 | Fax: (951) 278-1009
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CAPHY 50310RETAIL PHARMACY PERMIT
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – PharmacyCAPHY 50310
No3336C0004X – Pharmacy, Compounding PharmacyCAPHY 50310
Yes3336C0003X – Pharmacy, Community/Retail PharmacyCAPHY 50310
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About NPI 1275852758

Mdmx Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1275852758. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Corona, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-05-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275852758?

NPI 1275852758 belongs to Mdmx Corporation, a Pharmacy, Community/Retail Pharmacy in Corona, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275852758 active?

The current status of NPI 1275852758 in the NPPES registry is Active. The record was last updated on 2010-05-24.

What specialty is NPI 1275852758?

NPI 1275852758 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275852758?

You can verify NPI 1275852758 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275852758?

The primary practice address on file for NPI 1275852758 is 1280 Corona Pointe Ct, Corona, CA 92879-1770. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275852758 issued?

NPI 1275852758 was first issued (enumerated) on 2010-05-24. The NPPES record was last updated on 2010-05-24.

Practice Location Map

Mdmx Corporation is located at 1280 Corona Pointe Ct, Corona, CA. Use the map below to find directions or verify the practice location.

📍 1280 Corona Pointe Ct, Corona, CA 92879-1770  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mdmx Corporation. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1275852758. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
PharmacyPHY 50310CA
Pharmacy, Compounding PharmacyPHY 50310CA
Pharmacy, Community/Retail PharmacyPHY 50310CA
Data Verified from CMS NPPES Last synced: 2026-07-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162