NPIMap

Organization Active NPI

Lancaster Pharmacy

  • Community/Retail Pharmacy
  • Mojave, CA
National Provider Identifier
1104232826
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51738 Issued in CA
Legal business name
LANCASTER PHARMACY
Practice address
16912 Highway 14
Mojave, CA 93501-1226
Phone
(661) 948-1818
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Francis Bondzi-Simpson, B.PHARM.(HONS)NPI 1518379957
Title
Pharmacist in Charge
Phone
(661) 948-1818

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 51738 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

16912 Highway 14
Mojave, CA 93501-1226

Mailing address

1841 W Avenue I
Suite 107
Lancaster, CA 93534-1471
Phone (661) 948-1818

Other practice location 1

1841 W Avenue I Ste 107
Lancaster, CA 93534-1475
Phone (661) 948-1818

Other identifiers 1

IdentifierTypeStateIssuer
2146623OtherPK

Other names 1

  • Lancaster Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lancaster Pharmacy2 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

1841 W Avenue I
Ste 107
Lancaster, CA 93534
Phone (661) 948-1818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1104232826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 W AVENUE I",
            "address_2": "SUITE 107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935341471",
            "telephone_number": "661-948-1818",
            "fax_number": "661-948-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16912 HIGHWAY 14",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011226",
            "telephone_number": "661-948-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 W Avenue I Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935341475",
            "country_code": "US",
            "telephone_number": "661-948-1818",
            "fax_number": "661-948-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANCASTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "BONDZI-SIMPSON",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "661-948-1818",
        "authorized_official_credential": "B.PHARM.(HONS)"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51738",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lancaster Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mojave, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.