Lindhurst Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54484 Issued in CA

Legal business name

LINDHURST PHARMACY SERVICES INC

Doing business as

Lindhurst Pharmacy

Practice address

5991 Lindhurst Ave
Marysville, CA 95901-9590

Phone

(530) 741-9800

Fax

(530) 741-9832

NPI assigned

Oct 28, 2009

Last updated

Sep 25, 2024By 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

Mr. Ananda Kumar BalakrishnanNPI 1760793855

Title

Ceo

Phone

(530) 741-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Lindhurst Pharmacy Doing business as
• Peach Tree Pharmacy Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Lindhurst Pharmacy Services2 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.

• Lindhurst Pharmacy Services Inc

  dba Lindhurst Pharmacy

  • Long Term Care Pharmacy
  • Marysville, CA
  • NPI 1588429609
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ananda Kumar Balakrishnan

  • Pharmacist
  • Sacramento, CA
  • NPI 1760793855
  NPD Authorized official
• Vandana Chaudhari

  • Pharmacist
  • Marysville, CA
  • NPI 1649721648
  NPD (past)
• Jindjeet Hansi, PHARMD

  • Pharmacist
  • Marysville, CA
  • NPI 1447798913
  NPD (past)

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1568798338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 LINDHURST AVE",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "530-741-9800",
            "fax_number": "530-741-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 LINDHURST AVE",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959019590",
            "telephone_number": "530-741-9800",
            "fax_number": "530-741-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDHURST PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "BALAKRISHNAN",
        "authorized_official_first_name": "ANANDA",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-741-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindhurst Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lindhurst Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peach Tree Pharmacy Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zoe Ann Leefer Van Leeuwen, PA-C
• Andrew Lemos
• Maria Alpena Briones Leonidas
• Radhika Levaka, MD
• Nancy A. Levinson
• Lindhurst Pharmacy Services Inc (Lindhurst Pharmacy)
• Amanda Lininger, MHRS
• Julia Regina Link-Herrera, MMS, PA-C
• B. a. Doc Livingston
• Natasha Llamas, SUDRC

• Community/Retail Pharmacy in Marysville, CA
• Providers in Marysville, 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 Sep 25, 2024; 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.