Organization Active NPI

Lane Medical Pharmacy Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1215020656
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53609 Issued in CA
Legal business name
LANE MEDICAL PHARMACY INC
Practice address
5162 Wilshire Blvd
Los Angeles, CA 90036-4303
Phone
(310) 652-2767
Fax
(323) 591-1426
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Lane Frankel, RPH
Title
Owner
Phone
(310) 652-2767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY53609 CA Primary

Addresses

Primary practice location

5162 Wilshire Blvd
Los Angeles, CA 90036-4303

Mailing address

5162 Wilshire Blvd
Los Angeles, CA 90036-4303
Phone (310) 652-2767

Other identifiers 2

IdentifierTypeStateIssuer
1998654OtherPK
PHA346970MedicaidCA

Other names 1

  • LANE MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5162 Wilshire Blvd
Los Angeles, CA 90036
Phone (310) 652-2767

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1215020656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364303",
            "telephone_number": "310-652-2767",
            "fax_number": "323-591-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364303",
            "telephone_number": "310-652-2767",
            "fax_number": "323-591-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "FRANKEL",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-652-2767",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA346970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANE MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.