Lexann Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

48794 Issued in CA

Legal business name

LEXANN PHARMACY INC

Doing business as

Lexann Pharmacy Inc

Practice address

1569 Lexann Ave
Ste 104
San Jose, CA 95121-1794

Phone

(408) 528-9079

Fax

(408) 528-9070

NPI assigned

Oct 26, 2007

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Lai, PHRMD

Title

Owner

Phone

(408) 806-6168

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LEXANN PHARMACY INC Doing business as

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1558540583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE",
            "address_2": "STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794",
            "telephone_number": "408-528-9079",
            "fax_number": "408-528-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE",
            "address_2": "STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794",
            "telephone_number": "408-528-9079",
            "fax_number": "408-528-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXANN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-806-6168",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "48794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112966",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEXANN PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sam Marye Lewis, LMFT
• Sharon Rachelle Lewis
• Teresa J. Lewis, MD
• Todd Lewis, MD
• Lexann Dentals Corp
• Lexean Behavioral Health Inc
• Lexis Pediatric Speech Therapy
• Annabel Mendoza Leyva
• Cynthia Leyva
• Natanael Leyva

• Community/Retail Pharmacy in San Jose, CA
• Providers in San Jose, 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 May 13, 2016; 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.