Organization Active NPI

Lotus Pharmacy

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1487802971
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY42189 Issued in CA
Legal business name
LOTUS PHARMACY
Practice address
6540 Stockton Blvd #3B
Sacramento, CA 95823-1635
Phone
(916) 422-5675
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Phieu Lam
Title
Pharmacist
Phone
(916) 422-5675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY42189 CA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
PHA421890MedicaidCA

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1487802971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD #3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD #3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-422-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PHIEU",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "916-422-5675"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA421890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.