Organization Active NPI

Lifeplus Pharmacy Inc.

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1992260376
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIFEPLUS PHARMACY INC.
Practice address
2764 Aborn Rd
San Jose, CA 95121-1204
Phone
(408) 606-8900
NPI assigned
Feb 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Authorized official

Name
Reetu SainiNPI 1528409083
Title
Ceo
Phone
(408) 881-3019

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 2

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

Addresses

Primary practice location

2764 Aborn Rd
San Jose, CA 95121-1204

Mailing address

3571 Corsica CT
San Jose, CA 95148-4392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190507000368 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3476895707 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2764 Aborn Rd
San Jose, CA 95121
Phone (408) 606-8900

377 Santana Row
Ste 1145
San Jose, CA 95128
Phone (408) 606-8900

Practitioners & affiliated clinicians

Practitioners 3

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": "1549756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658016000000",
    "number": "1992260376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 CORSICA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-606-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPLUS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-10",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "REETU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-881-3019"
    },
    "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.