Anaheim Plaza Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

52498 Issued in CA

Legal business name

ANAHEIM PLAZA PHARMACY INC

Doing business as

Anaheim Medical Plaza Pharmacy

Practice address

184 E Liberty Ave
Anaheim, CA 92801-1011

Phone

(714) 220-0720

Fax

(714) 525-4100

NPI assigned

Dec 6, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Lew

Title

Pres

Phone

(714) 220-0720

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ANAHEIM MEDICAL PLAZA PHARMACY Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1306905401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 E LIBERTY AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-220-0720",
            "fax_number": "714-525-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E LIBERTY AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011011",
            "telephone_number": "714-220-0720",
            "fax_number": "714-525-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "714-220-0720"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "52498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306905401",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANAHEIM MEDICAL PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.