LOTUS LTC PHARMACY, LLC (NPI# 1629613005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629613005 |
| Entity Type | Organization |
| Organization Name | LOTUS LTC PHARMACY, LLC |
| Practice Address |
9850 51st Ave N Ste 102 Plymouth MN 55442-3271 |
| Mailing Address |
Po Box 27559 Golden Valley MN 55427-0559 |
| Practice Telephone | 6124159145 |
| Mailing Telephone | 6124259145 |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |
| Authorized Official Name | JILL MARIE LYTWYN (CEO) |
| Authorized Official Telephone | 6124259145 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Street Address |
9850 51ST AVE N STE 102 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55442-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1104121151 | Melody Joy Richards | Counselor | 13210 45th Ave North, Plymouth, MN 55442 | 2011-01-24 |
| 1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
| 1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
| 1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
| 1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
| 1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
| 1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
| 1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
| 1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
| Find all providers in zip 55442 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1699280586 | Remedi Seniorcare of Michigan, LLC | Pharmacy | 14700 Helm Ct, Plymouth, MI 48170-6062 | 2017-12-13 |
| 1023287422 | Rxperts Pharmacy Michigan LLC | Pharmacy | 9131 General Ct, Ste 150, Plymouth, MI 48170-4621 | 2008-02-29 |
| 1609410182 | Plymouth Pharmacy Group Inc. | Pharmacy | 39475 Ann Arbor Rd E, Plymouth, MI 48170-4524 | 2019-10-29 |
| 1255990107 | Joe Litsey | Pharmacy | 6055 Nathan Ln N Ste 200, Plymouth, MN 55442-1675 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544822 | Rolseth Drug Co | Pharmacy | 26709 Forest Blvd, Wyoming, MN 55092-8022 | 2020-06-29 |
| 1962037242 | United Community Pharmacy Corporation | Pharmacy | 2500 Highway 88 Ste 105, St Anthony, MN 55418-4138 | 2020-03-07 |
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1639634710 | Lewis Family Drug, LLC | Pharmacy | 1105 13th Ave S, Saint James, MN 56081 | 2019-02-04 |
| 1033680046 | Brainerd Medical Center Inc | Pharmacy | 280 Barclay Ave W, Ste 1100, Pine River, MN 56474 | 2018-12-17 |
| 1457832909 | Black Forest Pharmacy Services Ltd | Pharmacy | 108 S 6th St Ste 1, Brainerd, MN 56401-3594 | 2018-08-23 |
| 1467932905 | Watertown Pharmacy LLC | Pharmacy | 204 Lewis Ave S Ste 101, Watertown, MN 55388-4501 | 2018-08-15 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1346757457 | Twin Valley Pharmacy LLC | Pharmacy | 108 Viking Ave W., Ulen, MN 56585 | 2018-01-10 |
| 1548708175 | Lewis Family Drug, LLC | Pharmacy | 1095 Morgan St, Tracy, MN 56175-1211 | 2017-02-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.