Active NPI
LM Pharmacy Inc
- Community/Retail Pharmacy
- Downey, CA
National Provider Identifier
1275713141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY57248 | Other | CA | PHARMACY LICENSE |
| 5628687 | Other | CA | NCPDP # |
Other names 1
- THE MEDICINE SHOPPE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080202000020 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163504804 | Practice locations: Downey, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Downey, CA
- NPI 1174891444
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Downey, CA
- NPI 1447528831
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.