Provider Demographics
NPI:1295819142
Name:HEALTHPLUS PHARMACY INC
Entity Type:Organization
Organization Name:HEALTHPLUS PHARMACY INC
Other - Org Name:HEALTHPLUS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EGHOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:UHUNMWANGO
Authorized Official - Suffix:
Authorized Official - Credentials:B PHARM
Authorized Official - Phone:954-433-9086
Mailing Address - Street 1:8820 MIRAMAR PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025
Mailing Address - Country:US
Mailing Address - Phone:954-433-9086
Mailing Address - Fax:954-433-9305
Practice Address - Street 1:8820 MIRAMAR PKWY BAY 11
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2732
Practice Address - Country:US
Practice Address - Phone:954-433-9086
Practice Address - Fax:954-433-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X
FLPH250473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL031202900Medicaid
2005380OtherPK
5585910001Medicare NSC