OrganizationActive
Fairmont Pharmacy
NPI 1104694371 · Long Term Care Pharmacy · Lodi, CA
Fairmont Pharmacy is a Long Term Care Pharmacy organization in Lodi, CA (NPI 1104694371).
Provider details
- NPI number
- 1104694371
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Fairmont Pharmacy
- Organization subpart
- Yes
- Authorized official
- Beatle Tran, Ceo(916) 938-9556
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1121 W Vine St #13
Lodi, CA 95240
Phone: (209) 625-8633
Fax: (209) 625-8629
Street-level locationGet directions
Mailing address
1121 W Vine St #13
Lodi, CA 95240
Other names (DBA / former)
- Other name
- Fairmont Pharmacy Ltc
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2023-12-18
- Certified
- 2023-12-16
Frequently asked questions
- What is Fairmont Pharmacy's NPI number?
- Fairmont Pharmacy's National Provider Identifier (NPI) is 1104694371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairmont Pharmacy?
- Fairmont Pharmacy is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Fairmont Pharmacy located?
- Fairmont Pharmacy's practice location on file with NPPES is 1121 W Vine St #13, Lodi, CA 95240.
- What is Fairmont Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Fairmont Pharmacy is (209) 625-8633.
- Who is the authorized official for Fairmont Pharmacy?
- The authorized official listed on Fairmont Pharmacy's NPPES record is Beatle Tran, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairmont Pharmacy's NPI active?
- Yes — Fairmont Pharmacy's NPI (1104694371) is active in the NPPES registry as of the last update on 2023-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.