Organization Active NPI

Pharmacy Plus Inc

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1588019491
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY54295 Issued in CA
Legal business name
PHARMACY PLUS INC
Practice address
1012 N Euclid St
Anaheim, CA 92801-3634
Phone
(714) 956-3741
Fax
(714) 956-5249
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Kwang Jin Hwang
Title
Owner/Pharmacist-in-Charge
Phone
(714) 956-3741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY54295 CA Primary

Addresses

Primary practice location

1012 N Euclid St
Anaheim, CA 92801-3634

Mailing address

1012 N Euclid St
Anaheim, CA 92801-3634
Phone (714) 956-3741

Other identifiers 2

IdentifierTypeStateIssuer
PHA487520MedicaidCA
2159726OtherPK

Other names 1

  • PHARMACY PLUS Doing business as

National Provider Directory

National Provider Directory

Locations

1012 N Euclid St
Anaheim, CA 92801
Phone (714) 956-3741

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1588019491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013634",
            "telephone_number": "714-956-3741",
            "fax_number": "714-956-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013634",
            "telephone_number": "714-956-3741",
            "fax_number": "714-956-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "KWANG JIN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "714-956-3741"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA487520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY PLUS",
            "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 Apr 13, 2017; 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.