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FAIRMONT PHARMACY
NPI 1689442956
Pharmacy - Community/Retail Pharmacy in Lodi, CA

Active since December 18, 2023
1121 W VINE ST STE 13, LODI, CA 95240(209) 625-8633(209) 625-8629 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairmont Pharmacy NPPES

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

FAIRMONT PHARMACY (NPI 1689442956) is a healthcare organization registered as a community/retail pharmacy in Lodi, California and active in the NPI registry since December 2023. The organization lists Beatle Thien-phuoc Tran, Ceo/pharmd, as its authorized official.

NPPES Registry Identity

NPI1689442956
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFAIRMONT PHARMACY
Location Address1121 W VINE ST STE 13Lodi, CA 95240-5137
Mailing Address1121 W Vine St Ste 13Lodi, CA 95240-5137 · (209) 938-9556
Phone(209) 625-8633
Fax(209) 625-8629
Organization SubpartYes
Authorized OfficialBeatle Thien-phuoc TranCeo/pharmd · (209) 938-9556
Enumeration DateDecember 18, 2023
NPPES CertifiedDecember 16, 2023
✔ NPI 1689442956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
1121 W VINE ST STE 13, Lodi, CA 95240
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Other Names 1

Other NameFairmont Pharmacy Ltc

Other Identifiers 2

Medicaid1689063331CA
OtherPHY52074CA · Facility State Pharmacy License - California

Other Providers at the Same Location NPPES

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

FAIRMONT PHARMACY
Pharmacy (Community/Retail Pharmacy)
1121 W VINE ST STE 13, SUITE 13
LODI, CA 95240
San Joaquin County (209) 625-8633

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 Fairmont Pharmacy's NPI number?

The NPI number for Fairmont Pharmacy is 1689442956. It was assigned to this organization in the NPPES registry on December 18, 2023. The provider is also known as Fairmont Pharmacy Ltc.

Where is Fairmont Pharmacy located?

Fairmont Pharmacy is located at 1121 W Vine St Ste 13, Lodi, CA 95240. The listed phone number is (209) 625-8633.

What is Fairmont Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Fairmont Pharmacy was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.