Organization Active NPI

Lincoln Pharmacy Inc

Doing business as Lincoln Pharmacy

  • Community/Retail Pharmacy
  • Lincoln, CA
National Provider Identifier
1639527674
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY54454 Issued in CA
Legal business name
LINCOLN PHARMACY INC
Doing business as
Lincoln Pharmacy
Practice address
831 Sterling Pkwy # 120
Lincoln, CA 95648-8691
Phone
(916) 209-3618
Fax
(916) 209-3634
NPI assigned
Jun 1, 2016
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Huyquang CHI Le
Title
President
Phone
(916) 209-3618

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY54454 CA Primary

Addresses

Primary practice location

831 Sterling Pkwy # 120
Lincoln, CA 95648-8691

Mailing address

831 Sterling Pkwy # 120
Lincoln, CA 95648-8691
Phone (916) 209-3618

Other identifiers 1

IdentifierTypeStateIssuer
2160428OtherPK

Other names 1

  • LINCOLN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

831 Sterling Pkwy
Ste 120
Lincoln, CA 95648
Phone (916) 209-3618

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1639527674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 STERLING PKWY # 120",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488691",
            "telephone_number": "916-209-3618",
            "fax_number": "916-209-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 STERLING PKWY # 120",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488691",
            "telephone_number": "916-209-3618",
            "fax_number": "916-209-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HUYQUANG",
        "authorized_official_middle_name": "CHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-209-3618"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LINCOLN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.