Organization Active NPI

Lindenwood RX, Inc

  • Community/Retail Pharmacy
  • Fremont, CA
National Provider Identifier
1568992857
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
56823 Issued in CA
Legal business name
LINDENWOOD RX, INC
Doing business as
LIRX
Practice address
1860 Mowry Avenuew
Suite 102
Fremont, CA 94538-0300
Phone
(510) 509-2123
Fax
(510) 358-2662
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Mr. Arsen Galstyan
Title
Officer
Phone
(510) 509-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 56823 CA Primary

Addresses

Primary practice location

1860 Mowry Avenuew
Suite 102
Fremont, CA 94538-0300

Mailing address

1860 Mowry Avenuew
Suite 102
Fremont, CA 94538-0300
Phone (510) 509-2123

Other names 1

  • LIRX Doing business as

National Provider Directory

National Provider Directory

Locations

1860 Mowry Ave
Ste 102
Fremont, CA 94538
Phone (510) 371-1178

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1568992857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVENUEW",
            "address_2": "SUITE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945380300",
            "telephone_number": "510-509-2123",
            "fax_number": "510-358-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVENUEW",
            "address_2": "SUITE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945380300",
            "telephone_number": "510-509-2123",
            "fax_number": "510-358-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENWOOD RX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "510-509-2123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "56823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIRX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.