Organization Active NPI

Lotus Pharmacy Inc.

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1720317613
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY42189 Issued in CA
Legal business name
LOTUS PHARMACY INC.
Practice address
6540 Stockton Blvd #3B
Sacramento, CA 95823-1635
Phone
(916) 422-5675
Fax
(916) 422-9864
NPI assigned
Dec 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Phieu Lam
Title
President
Phone
(916) 422-5675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY42189
Community/Retail Pharmacy 3336C0003X PHY42189 CA Primary

Addresses

Primary practice location

6540 Stockton Blvd #3B
Sacramento, CA 95823-1635

Mailing address

6540 Stockton Blvd #3B
Sacramento, CA 95823-1635
Phone (916) 422-5675

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1720317613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD #3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-422-5675",
            "fax_number": "916-422-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD #3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-422-5675",
            "fax_number": "916-422-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PHIEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-422-5675"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "PHY42189",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.