Organization Active NPI

Janet Pharmacy Enterprises Inc

  • Long Term Care Pharmacy
  • Anaheim, CA
National Provider Identifier
1952490286
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JANET PHARMACY ENTERPRISES INC
Practice address
5596 E la Palma Ave
Anaheim, CA 92807-2108
Phone
(714) 993-1458
Fax
(714) 917-2201
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mr. Malcolm Janet, RPH
Title
President
Phone
(714) 528-3610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY44045 CA
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5596 E la Palma Ave
Anaheim, CA 92807-2108

Mailing address

5596 E la Palma Ave
Anaheim, CA 92807-2108
Phone (714) 993-1458

Other identifiers 1

IdentifierTypeStateIssuer
PHA440450MedicaidCA

Other names 1

  • Yorba Linda Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070323000398 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9739283136 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anaheim, CA; Yorba Linda, CA
O20151106001617 CA DME Supplier - Pharmacy 9739283136 Practice locations: Anaheim, CA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Yorba Linda Pharmacy5596 E la Palma Ave, Anaheim, CA 92807-2108(714) 993-1458 Epoetin|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 1, 2006

National Provider Directory

National Provider Directory
Tax ID family
Janet Pharmacy Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5596 E La Palma Ave
Anaheim, CA 92807
Phone (714) 993-1458

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1952490286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5596 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072108",
            "telephone_number": "714-993-1458",
            "fax_number": "714-917-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5596 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072108",
            "telephone_number": "714-993-1458",
            "fax_number": "714-917-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET PHARMACY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "JANET",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-528-3610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY44045",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA440450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorba Linda Pharmacy",
            "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 Jan 14, 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.