Organization Active NPI

Lamont Healthcare Inc

  • Community/Retail Pharmacy
  • Lamont, CA
National Provider Identifier
1124199542
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LAMONT HEALTHCARE INC
Practice address
10400 Main St
Ste D
Lamont, CA 93241-1727
Phone
(661) 735-7077
Fax
(661) 735-7407
NPI assigned
Nov 10, 2006
Reactivated
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Mitali Sharma
Title
Owner
Phone
(661) 735-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

10400 Main St
Ste D
Lamont, CA 93241-1727

Mailing address

10400 Main St
Ste D
Lamont, CA 93241-1727
Phone (661) 735-7077

Other identifiers 1

IdentifierTypeStateIssuer
1124199542MedicaidCA

Other names 1

  • VALLEY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220726000771 CA Part B Supplier - Pharmacy 9436530201 Practice locations: Lamont, CA
O20230323000414 CA DME Supplier - Pharmacy 9436530201 Practice locations: Lamont, CA

National Provider Directory

National Provider Directory
Tax ID family
Lamont Healthcare Inc2 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

10400 Main St
Ste D
Lamont, CA 93241
Phone (661) 735-7077

1414 S Miller St
Ste E
Santa Maria, CA 93454
Phone (805) 922-6515

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1124199542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 MAIN ST",
            "address_2": "STE D",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411727",
            "telephone_number": "661-735-7077",
            "fax_number": "661-735-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 MAIN ST",
            "address_2": "STE D",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411727",
            "telephone_number": "661-735-7077",
            "fax_number": "661-735-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMONT HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "deactivation_date": "2017-07-17",
        "reactivation_date": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MITALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-735-7077"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124199542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.