Organization Active NPI

Choice RX Inc

  • Long Term Care Pharmacy
  • Anaheim, CA
National Provider Identifier
1013901065
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY55627 Issued in CA
Legal business name
CHOICE RX INC
Practice address
1425 E Lincoln Ave
Suite B
Anaheim, CA 92805-2209
Phone
(714) 776-1020
Fax
(714) 776-7053
NPI assigned
Sep 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Erlandy Y Villarama
Title
Supervisor
Phone
(714) 776-1020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY55627 CA
Long Term Care Pharmacy 3336L0003X PHY55627 CA Primary

Addresses

Primary practice location

1425 E Lincoln Ave
Suite B
Anaheim, CA 92805-2209

Mailing address

1425 E Lincoln Ave Ste B
Anaheim, CA 92805-2257
Phone (714) 776-1020

Other identifiers 1

IdentifierTypeStateIssuer
PHA431530MedicaidCA

Other names 1

  • RX PLUS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171018000233 CA DME Supplier - Pharmacy 6406122548 Practice locations: Anaheim, CA
O20210519003122 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6406122548 Practice locations: Anaheim, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
RX Plus Pharmacy1425 E Lincoln Ave, Anaheim, CA 92805-2257(714) 776-1020 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 12, 2017

National Provider Directory

National Provider Directory

Locations

1425 E Lincoln Ave
Ste B
Anaheim, CA 92805
Phone (714) 776-1020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1013901065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E LINCOLN AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052257",
            "telephone_number": "714-776-1020",
            "fax_number": "714-776-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E LINCOLN AVE",
            "address_2": "SUITE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052209",
            "telephone_number": "714-776-1020",
            "fax_number": "714-776-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "VILLARAMA",
        "authorized_official_first_name": "ERLANDY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-776-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY55627",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY55627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA431530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX PLUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RX PLUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.