Active NPI
Lotus Pharmacy 1, LLC
- Long Term Care Pharmacy
- Ft Lauderdale, FL
National Provider Identifier
1093664229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- LOTUS PHARMACY 1, LLC
- Practice address
- 5410 NW 33Rd Ave Ste 107
Ft Lauderdale, FL 33309-0004 - Phone
- (833) 602-3336
- Fax
- (888) 756-3331
- NPI assigned
- Jan 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Lytwyn
- Title
- Ceo
- Phone
- (612) 425-9145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
5410 NW 33Rd Ave Ste 107
Ft Lauderdale, FL 33309-0004
Mailing address
5410 NW 33Rd Ave Ste 107
Ft Lauderdale, FL 33309-0004
Phone (833) 602-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260615000016 | FL | Part B Supplier - Pharmacy | 4981176690 | Practice locations: Ft Lauderdale, FL |
National Provider Directory
National Provider DirectoryLocations
5410 NW 33rd Ave
Ste 107
Ft Lauderdale, FL 33309
Phone (833) 602-3336
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Pharmacist
- Plymouth, MN
- NPI 1063297315
-
- Pharmacist
- Ft Lauderdale, FL
- NPI 1497633101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1093664229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 NW 33RD AVE STE 107",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333090004",
"telephone_number": "833-602-3336",
"fax_number": "888-756-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 NW 33RD AVE STE 107",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333090004",
"telephone_number": "833-602-3336",
"fax_number": "888-756-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS PHARMACY 1, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "LYTWYN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-425-9145"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.