Organization Active NPI

Lotus Medicine LLC

  • Community/Retail Pharmacy
  • Camden, NJ
National Provider Identifier
1689729402
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LOTUS MEDICINE LLC
Practice address
2635 Westfield Ave
Camden, NJ 08105-1132
Phone
(856) 966-1112
Fax
(856) 966-1181
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mrs. Sonal R Shah, RPH
Title
Owner
Phone
(856) 966-1112

Specialties & licenses 1

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

Addresses

Primary practice location

2635 Westfield Ave
Camden, NJ 08105-1132

Mailing address

2635 Westfield Ave
Camden, NJ 08105-1132
Phone (856) 966-1112

Other identifiers 2

IdentifierTypeStateIssuer
0062367MedicaidNJ
0062375MedicaidNJ

Other names 1

  • Westfield Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2635 Westfield Ave
Camden, NJ 08105
Phone (856) 246-1006

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1689729402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 WESTFIELD AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051132",
            "telephone_number": "856-966-1112",
            "fax_number": "856-966-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 WESTFIELD AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051132",
            "telephone_number": "856-966-1112",
            "fax_number": "856-966-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SONAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-966-1112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062367",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062375",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westfield Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.