Organization Active NPI

Lotus Pharmacy LLC

Doing business as Lotus Pharmacy

  • Community/Retail Pharmacy
  • Mechanicsburg, PA
National Provider Identifier
1285325373
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LOTUS PHARMACY LLC
Doing business as
Lotus Pharmacy
Practice address
25 Gateway Dr Ste A107
Mechanicsburg, PA 17050-2930
Phone
(717) 458-5451
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mrs. Kumari Khanal
Title
Ceo
Phone
(412) 969-8617

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

25 Gateway Dr Ste A107
Mechanicsburg, PA 17050-2930

Mailing address

500 Francis Dr
Mechanicsburg, PA 17050-2465
Phone (412) 969-8617

Other names 1

  • Lotus Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230731000882 PA Part B Supplier - Pharmacy 9436510062 Practice locations: Mechanicsburg, PA
O20251105000040 PA Part B Supplier - Mass Immunization (Roster Biller Only) 9436510062 Practice locations: Mechanicsburg, PA

National Provider Directory

National Provider Directory
Tax ID family
Lotus Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Gateway Dr
Ste A107
Mechanicsburg, PA 17050
Phone (717) 458-5451

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": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1285325373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FRANCIS DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502465",
            "telephone_number": "412-969-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GATEWAY DR STE A107",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502930",
            "telephone_number": "717-458-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "KHANAL",
        "authorized_official_first_name": "KUMARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-969-8617",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lotus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.