Organization Active NPI

Planet Wellness Inc.

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1881485753
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PLANET WELLNESS INC.
Practice address
631 S Brookhurst St Ste 110
Anaheim, CA 92804-3500
Phone
(657) 704-4200
Fax
(657) 704-4201
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Krinaben Shah, DOCTOR OF PHARMACYNPI 1881112696
Title
Ceo
Phone
(949) 568-7886

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

631 S Brookhurst St Ste 110
Anaheim, CA 92804-3500

Mailing address

631 S Brookhurst St Ste 110
Anaheim, CA 92804-3500
Phone (657) 704-4200

Other names 1

  • A1CARE PHARMACY 2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819001678 CA Part B Supplier - Pharmacy 5092214809 Practice locations: Anaheim, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2331064A1Care Pharmacy 2631 S Brookhurst Street Ste 110, Anaheim, CA 92804Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

631 S Brookhurst St
Ste 110
Anaheim, CA 92804
Phone (657) 704-4200

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": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1881485753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S BROOKHURST ST STE 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043500",
            "telephone_number": "657-704-4200",
            "fax_number": "657-704-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S BROOKHURST ST STE 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043500",
            "telephone_number": "657-704-4200",
            "fax_number": "657-704-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KRINABEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-568-7886",
        "authorized_official_credential": "DOCTOR OF PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1CARE PHARMACY 2",
            "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 Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.