Healthcare Provider Details

I. General information

NPI: 1225636889
Provider Name (Legal Business Name): MED-PLUS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 LINDBERGH AVE
LIVERMORE CA
94551-9291
US

IV. Provider business mailing address

277 E. ROWLAND ST
COVINA CA
91723-3149
US

V. Phone/Fax

Practice location:
  • Phone: 888-222-8405
  • Fax: 877-363-3757
Mailing address:
  • Phone: 866-463-3757
  • Fax: 626-593-5733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: REGINA HUNT
Title or Position: CORPORATE DIRECTOR OF COMPLIANCE, C
Credential:
Phone: 800-589-9747