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LODI HEALTH PHARMACY WEST
NPI 1003846858
Pharmacy - Community/Retail Pharmacy in Lodi, CA

Active since July 04, 2006
2415 W VINE ST, 104B, LODI, CA 95242(209) 333-3009(209) 333-3110 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2018, Jun 1, 2017, Jan 19, 2017 (3 updates tracked since 2017).

About Lodi Health Pharmacy West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LODI HEALTH PHARMACY WEST (NPI 1003846858) is a healthcare organization registered as a community/retail pharmacy in Lodi, California and active in the NPI registry since July 2006. The organization lists Gary Airola, Pic/manager, as its authorized official.

NPPES Registry Identity

NPI1003846858
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION INC
Location Address2415 W VINE ST, 104BLodi, CA 95242-3731
Mailing Address2415 W Vine St, 104bLodi, CA 95242 · (209) 333-3009 · Fax (209) 333-3110
Phone(209) 333-3009
Fax(209) 333-3110
Organization SubpartNo
Authorized OfficialGary AirolaPic/manager · (209) 333-3009
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration
✔ NPI 1003846858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY53672
Definition
A 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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
2415 W VINE ST, Lodi, CA 95242
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Other Names 1

Doing Business AsLodi Health Pharmacy West

Other Identifiers 2

Other2003584Pk
MedicaidPHB367420CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAY RATILAL M.D.
Pediatrics
2415 W VINE ST, SUITE 100
LODI, CA 95242
San Joaquin County (209) 333-3135
HARVEY HASHIMOTO MD
Family Medicine
2415 W VINE ST, SUITE 105
LODI, CA 95242
San Joaquin County (209) 339-7435
KIRSTEN M CULLER MD
Pediatrics
2415 W VINE ST, SUITE 100
LODI, CA 95242
San Joaquin County (209) 333-3135
LODI MEMORIAL HOSPITAL ASSOCIATION INC
Clinic/Center
2415 W VINE ST, SUITE 103
LODI, CA 95242
San Joaquin County (209) 333-3030
DAISY BRISENO FNP
Registered Nurse
2415 W VINE ST, SUITE 106
LODI, CA 95242
San Joaquin County (209) 333-3066
MS. SANDRA BECK-ATWATER RPH
Pharmacist
2415 W VINE ST, SUITE 104B
LODI, CA 95242
San Joaquin County (209) 333-3009
LODI HEALTH
Pharmacy Technician
2415 W VINE ST
LODI, CA 95242
San Joaquin County (209) 333-3009
REGINA FUNG GUEN WONG M.D.
Pediatrics
2415 W VINE ST, SUITE 105
LODI, CA 95242
San Joaquin County (209) 333-3135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lodi Memorial Hospital Association Inc's NPI number?

The NPI number for Lodi Memorial Hospital Association Inc is 1003846858. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Lodi Health Pharmacy West.

Where is Lodi Memorial Hospital Association Inc located?

Lodi Memorial Hospital Association Inc is located at 2415 W Vine St 104B, Lodi, CA 95242. The listed phone number is (209) 333-3009.

What is Lodi Memorial Hospital Association Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Lodi Memorial Hospital Association Inc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 29 other insurers list Lodi Memorial Hospital Association Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lodi Memorial Hospital Association Inc was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.