LODI PHARMACY INC NPI 1003000258

Pharmacy (Community/Retail Pharmacy) in Lodi, CA

About LODI PHARMACY INC

Lodi Pharmacy Inc is a provider in Lodi, CA. The NPI number assigned to this provider is 1003000258. The practitioner's primary taxonomy code is Pharmacy (3336C0003X). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Lodi Pharmacy.

NPI1003000258 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameLODI PHARMACY INC
Provider Location Address929 S CHEROKEE LN LODI, CA 95240 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address929 S CHEROKEE LN LODI, CA 95240 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameLODI PHARMACY Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-30-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-20-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

LODI PHARMACY INC
929 S CHEROKEE LN
LODI, CA
ZIP 95240
Phone: (209) 365-7766
Fax: (209) 365-7733
Get Directions

Mailing Address

LODI PHARMACY INC
929 S CHEROKEE LN
LODI, CA
ZIP 95240
Phone: (209) 365-7766
Fax: (209) 365-7733

Primary Taxonomy

Taxonomy Code3336C0003X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.PHY49902
License StateCA
Taxonomy DescriptionA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Authorized Official

Authorized Official Name JASPAL SAMRA Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleDIRECTOR
Authorized Official Phone(209) 365-7788

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2121631OTHER (01)
PHA499020MEDICAID (05)CA

Map Location


LODI PHARMACY INC address is 929 S CHEROKEE LN LODI, CA 95240