Phieu Lam

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42189 Issued in CA

Legal business name

PHIEU LAM

Practice address

6540 Stockton Blvd
Ste 3B
Sacramento, CA 95823-1635

Phone

(916) 422-5675

Fax

(916) 422-9864

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Phieu Lam

Title

Owner

Phone

(916) 422-5675

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LOTUS PHARMACY Doing business as

Tax ID family

Lotus Pharmacy2 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.

• Lotus Pharmacy

  • Community/Retail Pharmacy
  • Sacramento, CA
  • NPI 1487802971
  NPD tax ID

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1487665063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD",
            "address_2": "STE 3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-422-5675",
            "fax_number": "916-422-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD",
            "address_2": "STE 3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-422-5675",
            "fax_number": "916-422-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIEU LAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PHIEU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-422-5675"
    },
    "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": "PHY42189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0548808",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA421890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOTUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rianne Phelps
• Tisha Y Phelps, CPNP-AC
• Odin Phenix
• Theresa Phi
• Thuy Phi
• Philip L. Levy, MD Medical Corp
• Femi Philip, M.D.
• Sindhu Elizabeth Philip, PSY.D.
• Anthony F. Philipps, M.D.
• Phillip Ray Enterprises, LLC

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.