Active NPI
Healthplus Pharmacy Inc
Doing business as Healthplus Pharmacy
- Community/Retail Pharmacy
- San Luis Obispo, CA
National Provider Identifier
1063583078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43683
- Legal business name
- HEALTHPLUS PHARMACY INC
- Doing business as
- Healthplus Pharmacy
- Practice address
- 948 E Foothill Blvd Ste a
San Luis Obispo, CA 93405-2701 - Phone
- (805) 543-5950
- Fax
- (805) 543-3160
- NPI assigned
- Nov 13, 2006
- 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
- Dana Nelson
- Title
- Ceo Pic
- Phone
- (805) 543-5966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY43683 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
948 E Foothill Blvd Ste a
San Luis Obispo, CA 93405-2701
Mailing address
948 E Foothill Blvd Ste a
San Luis Obispo, CA 93405-2701
Phone (805) 543-5950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0505834 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| PHA436830 | Medicaid | CA |
Other names 1
- HEALTHPLUS PHARMACY
National Provider Directory
National Provider DirectoryLocations
948 E Foothill Blvd
Unit A
Sn Luis Obisp, CA 93405
Phone (805) 543-5950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Luis Obispo, CA
- NPI 1619040060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1063583078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 E FOOTHILL BLVD STE A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934052701",
"telephone_number": "805-543-5950",
"fax_number": "805-543-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 E FOOTHILL BLVD STE A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934052701",
"telephone_number": "805-543-5950",
"fax_number": "805-543-3160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHPLUS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CEO PIC",
"authorized_official_telephone_number": "805-543-5966"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY43683",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0505834",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA436830",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEALTHPLUS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.