Organization Active NPI

LM Pharmacy Inc

  • Community/Retail Pharmacy
  • Downey, CA
National Provider Identifier
1275713141
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LM PHARMACY INC
Practice address
11003 Lakewood Blvd
Suite 101
Downey, CA 90241-3809
Phone
(562) 869-9200
Fax
(562) 869-9231
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Margaret Baker Wanis
Title
Pharmacist
Phone
(714) 743-1839

Specialties & licenses 1

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

Addresses

Primary practice location

11003 Lakewood Blvd
Suite 101
Downey, CA 90241-3809

Mailing address

11003 Lakewood Blvd
Suite 101
Downey, CA 90241-3809
Phone (562) 869-9200

Other identifiers 2

IdentifierTypeStateIssuer
PHY57248OtherCAPHARMACY LICENSE
5628687OtherCANCPDP #

Other names 1

  • THE MEDICINE SHOPPE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080202000020 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2163504804 Practice locations: Downey, CA

National Provider Directory

National Provider Directory

Locations

11003 Lakewood Blvd
Ste 101
Downey, CA 90241
Phone (562) 381-0500

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1275713141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 LAKEWOOD BLVD",
            "address_2": "SUITE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413809",
            "telephone_number": "562-869-9200",
            "fax_number": "562-869-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 LAKEWOOD BLVD",
            "address_2": "SUITE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413809",
            "telephone_number": "562-869-9200",
            "fax_number": "562-869-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "WANIS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "714-743-1839"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY57248",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "5628687",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.