LUCKY STORES II LLC
NPI 1679510002
Pharmacy - Community/Retail Pharmacy in Foster City, CA
- Organization
- Pharmacy
- Community/Retail Pharmacy
About LUCKY STORES II LLC
This page provides the complete NPI Profile along with additional information for Lucky Stores Ii Llc, a provider established in Foster City, California operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1679510002 assigned on June 2006. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Lorenzo Torres (New Store Enrollments)
- NPI
- 1679510002 Verify this NPI
- Provider Name
- LUCKY STORES II LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 919 EDGEWATER BLVD FOSTER CITY, CA 94404
- Location Phone
- (650) 572-1167
- Location Fax
- (650) 572-0378
- Mailing Address
- 919 EDGEWATER BLVD FOSTER CITY, CA 94404
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-02-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | PHY39235 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0535077 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL NUMBER |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679510002, enumerated as an "organization" on June 02, 2006.
The provider is located at 919 EDGEWATER BLVD FOSTER CITY, CA 94404 and the phone number is (650) 572-1167.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
