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Fairview Mtm Pharma, Inc

Community/Retail Pharmacy in Santa Ana, CA · enumerated 2016 · authorized official Denise Le, President/Ceo/Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417306200

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Fairview Mtm Pharma, Inc
Other name <Unavail>
Practice address 1002 N Fairview St, Santa Ana, CA, 92703
Phone (714) 881-0012
Fax (714) 486-2378
Enumeration date Jun 13, 2016
Last updated in NPPES Feb 20, 2023

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHY54449 (CA) Primary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Denise Le
Title President/Ceo/Pic
Phone (714) 881-0012

Other identifiers

Identifier Type State Issuer
1417306200 Medicaid CA -
PHY 54449 Other CA CALIFORNIA STATE BOARD OF PHARMACY PERMIT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fairview Mtm Pharma, Inc located?
The practice location on file with NPPES is in Santa Ana, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-02-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-20.