Organization Active NPI

Healthplus Pharmacy Inc

Doing business as Healthplus Pharmacy

  • Community/Retail Pharmacy
  • San Luis Obispo, CA
National Provider Identifier
1063583078
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43683 Issued in CA
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

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dana NelsonNPI 1619040060
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0505834OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA436830MedicaidCA

Other names 1

  • HEALTHPLUS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.