Active NPI
Star Alliance Health Group Inc
Doing business as Lotus Pharmacy
- Community/Retail Pharmacy
- Menifee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY52045
- Legal business name
- STAR ALLIANCE HEALTH GROUP INC
- Doing business as
- Lotus Pharmacy
- Practice address
- 27994 Bradley Rd
#H
Menifee, CA 92586-2240 - Phone
- (951) 301-8868
- Fax
- (951) 246-3083
- NPI assigned
- Feb 11, 2015
- 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
- Mr. Ankit Bhalodia
- Title
- Director/Pic
- Phone
- (951) 301-8868
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY52045 | CA | Primary |
Addresses
Primary practice location
27994 Bradley Rd
#H
Menifee, CA 92586-2240
Mailing address
27994 Bradley Rd
#H
Menifee, CA 92586-2240
Phone (951) 301-8868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770974859 | Medicaid | CA | |
| 5654074 | Other | CA | NCPDP |
Other names 1
- LOTUS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211010000001 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5395143036 | Practice locations: Menifee, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Lotus Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lotus Pharmacy
- Long Term Care Pharmacy
- Menifee, CA
- NPI 1619848777
Locations
27994 Bradley Rd
Ste H
Sun City, CA 92586
Phone (909) 890-2699
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.
-
- Pharmacist
- Menifee, CA
- NPI 1689076903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1770974859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27994 BRADLEY RD",
"address_2": "#H",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925862240",
"telephone_number": "951-301-8868",
"fax_number": "951-246-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27994 BRADLEY RD",
"address_2": "#H",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925862240",
"telephone_number": "951-301-8868",
"fax_number": "951-246-3083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR ALLIANCE HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-11",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "BHALODIA",
"authorized_official_first_name": "ANKIT",
"authorized_official_title_or_position": "DIRECTOR/PIC",
"authorized_official_telephone_number": "951-301-8868",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY52045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770974859",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5654074",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LOTUS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LOTUS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Menifee, CA
- Southland Arthrites and Osteoporosis Medical Center Inc
- Southland Arthrites and Osteoporosis Medical Center Inc
- Braxton Kendall Spencer
- Lynndee Stafford
- Star Alliance Health Group Inc (Lotus Pharmacy)
- Linda Stark
- Sharon Aurora Brown Starnes, RNFA
- Monique Steiner, CRNA
- Latresa Stewart
- Levi Stinchcomb
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.