Medical Plaza Pharmacy
LBN: Siddhaye Corporation
Medical Plaza Pharmacy is an health care organization with primary practice located at 12818 Heacock St Ste C 5, Moreno Valley CA 92553-3173. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Siddhaye Corporation can be contacted via phone (951) 247-3501, or through Patel, Meeta via phone (951) 247-3501.
Contact Information
Primary practice address
12818 Heacock St Ste C 5
Moreno Valley CA 92553-3173
Phone: (951) 247-3501
Fax: (951) 243-1702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY45473 | California |
Profile Details
| NPI number | 1982773834 |
|---|---|
| LBN Legal business name | Siddhaye Corporation |
| DBA Doing business as | Medical Plaza Pharmacy |
| Authorized official | Patel, Meeta |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Sep 19th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982773834 | NPPES |
| Other | 0563177 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA454730 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| Other | 1982773834 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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