Healthcare Provider Details

I. General information

NPI: 1841789104
Provider Name (Legal Business Name): BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13925 YALE AVE STE 145
IRVINE CA
92620-2670
US

IV. Provider business mailing address

13925 YALE AVE STE 145
IRVINE CA
92620-2670
US

V. Phone/Fax

Practice location:
  • Phone: 949-308-7511
  • Fax:
Mailing address:
  • Phone:
  • 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 Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ELVIN MONTANEZ
Title or Position: COO
Credential: PHARMD
Phone: 407-830-8820