Med-Plus Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

50527 Issued in CA

Legal business name

MED-PLUS PHARMACY LLC

Practice address

760 Arrow Grand Cir
Covina, CA 91722-2147

Phone

(866) 463-3757

Fax

(877) 363-3757

NPI assigned

Jan 21, 2011

Organization subpart

Yes

Parent organization

MED-PLUS PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Regina Hunt

Title

Corporate Director of Compliance, C

Phone

(800) 589-9747

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Polaris Pharmacy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Med-Plus Pharmacy LLC

  • Long Term Care Pharmacy
  • Livermore, CA
  • NPI 1225636889

  6305051012

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Med-Plus Pharmacy LLC

  • Long Term Care Pharmacy
  • Livermore, CA
  • NPI 1225636889

  O20231220003146

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Med-Plus Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Med-Plus Pharmacy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Med-Plus Pharmacy LLC

  • Long Term Care Pharmacy
  • Livermore, CA
  • NPI 1225636889
  NPD tax ID

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eisenberg Village of the Los Angeles Jewish Home for the Aging

  • Nursing Facility/Intermediate Care Facility
  • Reseda, CA
  • NPI 1215930995

  Adp of the SNF

  CMS ownership
• Grancell Village of the Los Angeles Jewish Home for the Aging

  • Skilled Nursing Facility
  • Reseda, CA
  • NPI 1487681631

  Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1821393828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 ARROW GRAND CIR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222147",
            "telephone_number": "866-463-3757",
            "fax_number": "877-363-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 ARROW GRAND CIR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222147",
            "telephone_number": "866-463-3757",
            "fax_number": "877-363-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PLUS PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED-PLUS PHARMACY LLC",
        "enumeration_date": "2011-01-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE, C",
        "authorized_official_telephone_number": "800-589-9747"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "50527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821393828",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Polaris Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Covina, CA
• Providers in Covina, 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 Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.