Archana Corporation

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ARCHANA CORPORATION

Practice address

9943 Maine Ave
Lakeside, CA 92040-3107

Phone

(619) 443-1013

Fax

(619) 443-8517

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Rajesh B Zalavadiya, RPH

Title

Vice President

Phone

(619) 443-1013

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LEO'S LAKESIDE PHARMACY-LTC Doing business as

Tax ID family

Archana Corporation2 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.

• Archana Corporation

  • Community/Retail Pharmacy
  • Lakeside, CA
  • NPI 1811048069
  NPD tax ID

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1013589100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 MAINE AVE",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920403107",
            "telephone_number": "619-443-1013",
            "fax_number": "619-443-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9943 MAINE AVE",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920403107",
            "telephone_number": "619-443-1013",
            "fax_number": "619-443-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "ZALAVADIYA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "619-443-1013",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811048069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEO'S LAKESIDE PHARMACY-LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meiqi An, RN
• Jennifer Mary Ann Anderson, M.S., CCC-SLP
• Steven R Anderson Sr.
• Victor Josue Andrade, PHARM.D.
• Matthew Timothy Angquico
• Archana Corporation
• Ginger Lea Armstrong, DONA # 14215
• Arthur Santos DDS Corp
• Cesar Ayala, DDS
• Bailey Associates Inc

• Long Term Care Pharmacy in Lakeside, CA
• Providers in Lakeside, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.