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LODI MEMORIAL HOSPTIAL PHARMACY WEST
NPI 1043633761
Pharmacy - Clinic Pharmacy in Lodi, CA

Active since January 31, 2014
975 S FAIRMONT AVE, 2415 W VINE #104, LODI, CA 95240(209) 334-3411(209) 333-3110 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lodi Memorial Hosptial Pharmacy West NPPES

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

LODI MEMORIAL HOSPTIAL PHARMACY WEST (NPI 1043633761) is a healthcare organization registered as a clinic pharmacy in Lodi, California and active in the NPI registry since January 2014. The organization lists Mark Sey, Chief Admistrative Officer, as its authorized official.

NPPES Registry Identity

NPI1043633761
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameLODI MEMORIAL HOSPTIAL PHARMACY WEST
Location Address975 S FAIRMONT AVE, 2415 W VINE #104Lodi, CA 95240-5118
Mailing Address2415 W Vilne #104Lodi, CA 95240-5118 · (209) 334-3411 · Fax (209) 333-3110
Phone(209) 334-3411
Fax(209) 333-3110
Organization SubpartYesParent: Lodi Memorial Hosptial Association Inc
Authorized OfficialMark SeyChief Admistrative Officer · (209) 339-7439
Enumeration DateJanuary 31, 2014
✔ NPI 1043633761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in CA · HSP37642
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

975 S FAIRMONT AVE, Lodi, CA 95240
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Other Providers at the Same Location NPPES 20

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

TERI SPRING RD
Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Pathology (Anatomic Pathology & Clinical Pathology)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (916) 447-6267
DR. KEVIN EARL RABEY M.D.
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ARIANNA BUSH
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
MRS. KRISTINA FORTES FNP, MSN, RN
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ADAM JOSEPH WOODYARD DO
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
LANCY LU
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 339-7639
DR. HAELI PARK MD
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 339-7639

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 Hosptial Pharmacy West's NPI number?

The NPI number for Lodi Memorial Hosptial Pharmacy West is 1043633761. It was assigned to this organization in the NPPES registry on January 31, 2014.

Where is Lodi Memorial Hosptial Pharmacy West located?

Lodi Memorial Hosptial Pharmacy West is located at 975 S Fairmont Ave 2415 W Vine #104, Lodi, CA 95240. The listed phone number is (209) 334-3411.

What is Lodi Memorial Hosptial Pharmacy West's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Lodi Memorial Hosptial Pharmacy West was last updated on January 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.