Healthnet Plus

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47004 Issued in CA

Legal business name

HEALTHNET PLUS

Practice address

1745 W 17TH St
Santa Ana, CA 92706-2378

Phone

(714) 558-0131

Fax

(714) 558-0262

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Iqtadara Malik

Title

Vice President

Phone

(714) 558-0131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEL RICH PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1699794883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 W 17TH ST STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062379",
            "telephone_number": "714-558-0131",
            "fax_number": "714-558-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062378",
            "telephone_number": "714-558-0131",
            "fax_number": "714-558-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNET PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "IQTADARA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-558-0131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "PHA470040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEL RICH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.