Lodi Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LODI PHARMACY LLC

Doing business as

Lodi Pharmacy

Practice address

412 W Lodi Ave
Lodi, CA 95240-3423

Phone

(209) 298-1715

Fax

(559) 369-2408

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Pratap Krishna Anne

Title

Pharmacy Director

Phone

(209) 298-1715

Specialties & licenses 1

Addresses

Other names 1

• LODI PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1922810068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W LODI AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403423",
            "telephone_number": "209-298-1715",
            "fax_number": "559-369-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W LODI AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403423",
            "telephone_number": "209-298-1715",
            "fax_number": "559-369-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "PRATAP",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "209-298-1715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LODI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lodi Memorial Hosptial Pharmacy West
• Lodi Obstetrics and Gynecology Medical Group (Lodi Ob Gyn Medical Group, Inc.)
• Lodi Orthopaedic Medical Group (Thomas P McKenzie MD)
• Lodi Pain Clinic, Inc.
• Lodi Pharmacy Inc (Lodi Pharmacy)
• Lodi Plaza Head & Neck Medical Assoc Inc
• Lodi Podiatry Group
• Lodi Sick Room Supply Inc
• Lodi Skilled Nursing Services, Inc. (Fairmont Rehabilitation Hospital)
• Lodi Sleep Disorders Management Group LP

• Long Term Care Pharmacy in Lodi, CA
• Providers in Lodi, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.