Leo Salutem Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LEO SALUTEM INC

Doing business as

Lyons Pharmacy

Practice address

4575 Camino de la PLZ Ste 106
San Ysidro, CA 92173-3157

Phone

(619) 407-5555

Fax

(619) 407-6718

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Daniel J Lyons, PHARM.DNPI 1205155389

Title

President

Phone

(619) 407-5555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LYONS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Tax ID family

Leo Salutem Inc2 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.

• Leo Salutem Inc

  dba Lyons Pharmacy

  • Long Term Care Pharmacy
  • San Ysidro, CA
  • NPI 1912776626
  NPD tax ID

Locations

Practitioners 2

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

• Daniel J Lyons, PHARM.D

  • Pharmacist
  • San Ysidro, CA
  • NPI 1205155389
  NPD Authorized official
• Jessica Lisette Ramirez, PHARMD

  • Pharmacist
  • Chula Vista, CA
  • NPI 1427836337
  NPD

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1902442387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 CAMINO DE LA PLZ STE 106",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733157",
            "telephone_number": "619-407-5555",
            "fax_number": "619-407-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 CAMINO DE LA PLZ STE 106",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733157",
            "telephone_number": "619-407-5555",
            "fax_number": "619-407-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO SALUTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-407-5555",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902442387",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent Edward Karras, DC
• Mike Najah Katy
• Mely Knott
• Michele A. Lamantia, MD
• Prescott Michelle Lederer, PA
• Leo Salutem Inc (Lyons Pharmacy)
• Monica Leon-Lopez, HEALTH SCIENCE, B.S.
• David Lepez, MD
• Jenifer Leuck, PHARM D
• Araceli Leza, AA

• Community/Retail Pharmacy in San Ysidro, CA
• Providers in San Ysidro, 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 Sep 16, 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.