Organization Active NPI

Lila Pharmacy Inc.

  • Community/Retail Pharmacy
  • Fontana, CA
National Provider Identifier
1902220924
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LILA PHARMACY INC.
Practice address
16137 Foothill Blvd
Fontana, CA 92335-3374
Phone
(909) 429-4497
Fax
(909) 429-4743
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Vikram Patel, PHARMDNPI 1710217823
Title
Ceo
Phone
(520) 331-7096

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 Primary

Addresses

Primary practice location

16137 Foothill Blvd
Fontana, CA 92335-3374

Mailing address

16137 Foothill Blvd
Fontana, CA 92335-3374
Phone (909) 429-4467

Other identifiers 1

IdentifierTypeStateIssuer
1902220924MedicaidCA

Other names 1

  • Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

16137 Foothill Blvd
Fontana, CA 92335
Phone (909) 429-4497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1902220924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16137 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353374",
            "telephone_number": "909-429-4467",
            "fax_number": "909-429-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16137 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353374",
            "telephone_number": "909-429-4497",
            "fax_number": "909-429-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-331-7096",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902220924",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.