Lodi Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49902 Issued in CA

Legal business name

LODI PHARMACY INC

Practice address

929 S Cherokee LN
Lodi, CA 95240-4304

Phone

(209) 365-7766

Fax

(209) 365-7733

NPI assigned

Aug 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaspal Samra

Title

Director

Phone

(209) 365-7788

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LODI PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1003000258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S CHEROKEE LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952404304",
            "telephone_number": "209-365-7766",
            "fax_number": "209-365-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S CHEROKEE LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952404304",
            "telephone_number": "209-365-7766",
            "fax_number": "209-365-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "SAMRA",
        "authorized_official_first_name": "JASPAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-365-7788"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121631",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA499020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LODI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lodi Memorial Hospital Association, Inc.
• Lodi Memorial Hosptial Pharmacy West
• Lodi Obstetrics and Gynecology Medical Group
• Lodi Orthopaedic Medical Group
• Lodi Pain Clinic, Inc.
• Lodi Pharmacy LLC
• Lodi Plaza Head & Neck Medical Assoc Inc
• Lodi Podiatry Group
• Lodi Sick Room Supply Inc
• Lodi Skilled Nursing Services, Inc.

• Community/Retail Pharmacy in Lodi, CA
• Providers in Lodi, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.