Organization Active NPI

Coremed Pharmacy Services

  • Pharmacy
  • Lodi, CA
National Provider Identifier
1225327885
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50590 Issued in CA
Legal business name
COREMED PHARMACY SERVICES
Practice address
911 Industrial Way
Suite G
Lodi, CA 95240-3121
Phone
(800) 853-0651
Fax
(209) 366-1818
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Zaman Khan, PHARM.DNPI 1164711628
Title
Pharmacist in Charge
Phone
(800) 853-0651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50590 CA Primary

Addresses

Primary practice location

911 Industrial Way
Suite G
Lodi, CA 95240-3121

Mailing address

911 Industrial Way
Suite G
Lodi, CA 95240-3121
Phone (800) 853-0651

Other identifiers 1

IdentifierTypeStateIssuer
50590OtherCABOARD OF PHARMACY

National Provider Directory

National Provider Directory
Tax ID family
Coremed Pharmacy Services2 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

911 Industrial Way
Ste G
Lodi, CA 95240
Phone (800) 853-0651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225327885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 INDUSTRIAL WAY",
            "address_2": "SUITE G",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403121",
            "telephone_number": "800-853-0651",
            "fax_number": "209-366-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 INDUSTRIAL WAY",
            "address_2": "SUITE G",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403121",
            "telephone_number": "800-853-0651",
            "fax_number": "209-366-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREMED PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAMAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "800-853-0651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "50590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "50590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.