Landmark Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55396 Issued in CA

Legal business name

LANDMARK PHARMA INC

Practice address

1113 Alta Ave Ste 100
Upland, CA 91786-2804

Phone

(909) 360-8352

Fax

(909) 360-8372

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Jinesh Patel

Title

President, Ao

Phone

(714) 270-7432

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• ALTA CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1699227983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ALTA AVE STE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862804",
            "telephone_number": "909-360-8352",
            "fax_number": "909-360-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 ALTA AVE STE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862804",
            "telephone_number": "909-360-8352",
            "fax_number": "909-360-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JINESH",
        "authorized_official_title_or_position": "PRESIDENT, AO",
        "authorized_official_telephone_number": "714-270-7432"
    },
    "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": "55396",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yin Hsiung Lai, MD
• Martin Winata Laksana, D.D.S.
• Tracy Lam-Luu, DC
• Shannon Lambert, MPAS, PA-C
• Jillian Rose Lambright
• Lakesha S. Lane
• Langroodi Upland Dental P.C.
• Houman Langroodi, DDS
• Wilson Dugaduga Lao, MD
• Martha Libertad Lara, M.D.

• Community/Retail Pharmacy in Upland, CA
• Providers in Upland, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.