Organization Active NPI

Lotus RX Pharmacy, Inc.

Doing business as Lotus RX

  • Community/Retail Pharmacy
  • La Palma, CA
National Provider Identifier
1184196586
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LOTUS RX PHARMACY, INC.
Doing business as
Lotus RX
Medshop Pharmacy
Practice address
7851 Walker St Ste 102
La Palma, CA 90623-1734
Phone
(714) 735-8859
Fax
(714) 735-8862
NPI assigned
Dec 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Thao Thanh Vo, PHARM.DNPI 1548718620
Title
Ceo/Pic
Phone
(714) 735-8859

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7851 Walker St Ste 102
La Palma, CA 90623-1734

Mailing address

7851 Walker St Ste 102
La Palma, CA 90623-1734
Phone (714) 735-8859

Other names 2

  • Lotus RX Doing business as
  • Medshop 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
O20201015002293 CA DME Supplier - Pharmacy 6709206568 Practice locations: La Palma, CA
O20210813000251 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6709206568 Practice locations: La Palma, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lotus RX Pharmacy Inc7851 Walker St, La Palma, CA 90623-1734(714) 735-8859 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Aug 7, 2020

National Provider Directory

National Provider Directory

Locations

7851 Walker St
Ste 102
La Palma, CA 90623
Phone (714) 735-8859

7851 Walker St
La Palma, CA 90623
Phone (714) 468-3709

Practitioners & affiliated clinicians

Practitioners 1

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": "1545523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1184196586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST STE 102",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231734",
            "telephone_number": "714-735-8859",
            "fax_number": "714-735-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST STE 102",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231734",
            "telephone_number": "714-735-8859",
            "fax_number": "714-735-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS RX PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-23",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "714-735-8859",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medshop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medshop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.