Healthcare Provider Details

I. General information

NPI: 1437731098
Provider Name (Legal Business Name): BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 02/15/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13925 YALE AVE STE 145
IRVINE CA
92620-2670
US

IV. Provider business mailing address

PO BOX 162088
ALTAMONTE SPRINGS FL
32716-2088
US

V. Phone/Fax

Practice location:
  • Phone: 949-654-7503
  • Fax: 949-654-3942
Mailing address:
  • Phone: 407-212-9110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE SWENSON
Title or Position: DIRECTOR
Credential:
Phone: 407-212-9110