Active NPI
Choice RX Inc
- Long Term Care Pharmacy
- Anaheim, CA
National Provider Identifier
1013901065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY55627
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA431530 | Medicaid | CA |
Other names 1
- RX PLUS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| RX Plus Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Anaheim, CA
- NPI 1003537754
-
- Pharmacist
- Anaheim, CA
- NPI 1689253858
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.