LMT Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LMT PHARMACY

Practice address

9475 Warner Ave Ste B
Fountain Valley, CA 92708-2814

Phone

(714) 465-9639

Fax

(714) 465-9386

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth TranNPI 1043032865

Title

Owner

Phone

(714) 465-9639

Specialties & licenses 1

Addresses

Other names 1

• EVERGREEN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Tran, PHARMD

  • Pharmacist
  • Fountain Valley, CA
  • NPI 1043032865
  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1548027683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 WARNER AVE STE B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082814",
            "telephone_number": "714-465-9639",
            "fax_number": "714-465-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 WARNER AVE STE B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082814",
            "telephone_number": "714-465-9639",
            "fax_number": "714-465-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-465-9639"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna C Liu, D.O.
• Daniel Liu
• Elise Ying Liu, PT, DPT
• Michelle Liu, LMFT
• Liliana Sophia Lizcano--Valenzuela
• Kevin Lo, PHARMD
• Loc H Nguyen MD Inc
• Norrette T Lohr-Thierry, PH.D.
• John K Lok, M.D.
• Arvely Denisse Lopez

• Community/Retail Pharmacy in Fountain Valley, CA
• Providers in Fountain Valley, 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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.