River'S Edge Specialty Pharmacy

LBN: Han Sam Corp
River'S Edge Specialty Pharmacy is an health care organization with primary practice located at 17332 Von Karman Ave Ste 110 , Irvine CA 92614-6280. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Han Sam Corp can be contacted via phone (949) 393-5780, or through Benjamin, Hany Samuel via phone (949) 292-2686.

Contact Information

Primary practice address
17332 Von Karman Ave Ste 110 Irvine CA 92614-6280
Phone: (949) 393-5780
Fax: (949) 393-5790
Website:
Map and Directions
Authorized official contact:
Name: Benjamin, Hany Samuel
Phone: (949) 292-2686

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 51942 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 51942 California
Suppliers / Specialty Pharmacy 3336S0011X 51942 California

Profile Details

NPI number 1508315128
LBN Legal business name Han Sam Corp
DBA Doing business as River'S Edge Specialty Pharmacy
Authorized official Benjamin, Hany Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2016
Last updated Dec 21st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508315128 NPPES
California MEDICAID 1508315128

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