Organization Active NPI

Woodbridge Pharmacy

  • Pharmacy
  • Lodi, CA
National Provider Identifier
1003801739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WOODBRIDGE PHARMACY
Practice address
2401 W Turner Rd
Suite 290
Lodi, CA 95242-2182
Phone
(209) 365-9200
Fax
(209) 365-9400
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Zaman Khan, PHARM.D
Title
Pharmacist in Charge
Phone
(209) 365-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2401 W Turner Rd
Suite 290
Lodi, CA 95242-2182

Mailing address

2401 W Turner Rd
Suite 290
Lodi, CA 95242-2182
Phone (209) 365-9200

National Provider Directory

National Provider Directory
Tax ID family
Coremed Pharmacy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2401 W Turner Rd
Ste 290
Lodi, CA 95242
Phone (209) 365-9200

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003801739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W TURNER RD",
            "address_2": "SUITE 290",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422182",
            "telephone_number": "209-365-9200",
            "fax_number": "209-365-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W TURNER RD",
            "address_2": "SUITE 290",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422182",
            "telephone_number": "209-365-9200",
            "fax_number": "209-365-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAMAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "209-365-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.