Organization Active NPI

Star Alliance Health Group Inc

Doing business as Lotus Pharmacy

  • Community/Retail Pharmacy
  • Menifee, CA
National Provider Identifier
1770974859
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY52045 Issued in CA
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

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Mr. Ankit BhalodiaNPI 1689076903
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1770974859MedicaidCA
5654074OtherCANCPDP

Other names 1

  • LOTUS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.