Lotus LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LOTUS LTC PHARMACY LLC

Practice address

9850 51St Ave N Ste 102
Plymouth, MN 55442-3271

Phone

(612) 415-9145

NPI assigned

Nov 9, 2019

Organization subpart

No

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

Authorized official

Name

Jill Marie Lytwyn, RPHNPI 1063297315

Title

Ceo

Phone

(612) 425-9145

Specialties & licenses 1

Addresses

Other names 1

• Lotus Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

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 3

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

• Jill Marie Lytwyn

  • Geriatric Pharmacist
  • Plymouth, MN
  • NPI 1063297315
  NPD Authorized official
• Julie Ann Jackman, PHARMD, BC-ACP, BCPP

  • Ambulatory Care Pharmacist
  • Plymouth, MN
  • NPI 1184627804
  NPD
• Eldon Karwand, R.PH.

  • Geriatric Pharmacist
  • Plymouth, MN
  • NPI 1629661756
  NPD

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1629613005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27559",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554270559",
            "telephone_number": "612-425-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 51ST AVE N STE 102",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554423271",
            "telephone_number": "612-415-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "LYTWYN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-425-9145",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joycelin Vicky Lopez, AUD
• Emily Lord
• Natalie Losito
• Bailey Loso
• Sandra Lostetter, CRNA
• Todd Love, M.D.
• Douglas Lowin
• Kayla Jessica Lucious
• Theresa Lucito, D.C.
• Kristen Susan Luebbe

• Long Term Care Pharmacy in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Long Term Care Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.