Active NPI
Lotus Medicine LLC
- Community/Retail Pharmacy
- Camden, NJ
National Provider Identifier
1689729402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062367 | Medicaid | NJ | |
| 0062375 | Medicaid | NJ |
Other names 1
- Westfield Family Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.