Lucky Stores II LLC

Lucky Stores II LLC is a healthcare organization registered as Community/Retail Pharmacy in Tracy, CA, holding Type 2 (organization) NPI 1104863620 since 2006. The authorized official on file is Lorenzo Torres, New Store Enrollments.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104863620
Entity type	Organization (Type 2)
Legal business name	Lucky Stores II LLC
Other name	<Unavail>
Practice address	875 S TRACY BLVD, Tracy, CA, 95376
Phone	2098301977
Fax	2098301987
Enumeration date	2006-06-01
Last updated in NPPES	2025-09-11

Authorized official

Name	Lorenzo Torres
Title	New Store Enrollments
Phone	8479164463

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
333600000X	Pharmacy	Secondary	PHY42087	CA
3336C0003X	Community/Retail Pharmacy	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
0568797	Other	—	OTHER ID NUMBER-COMMERCIAL NUMBER

Copy-ready billing details

Provider: Lucky Stores II LLC
NPI: 1104863620
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 875 S TRACY BLVD, Tracy, CA, 95376

Providers at this address

NPI	Name	Type	Specialty	Location
1023679941	Cassi Aarvig	Individual	Pharmacist	Tracy, CA
1467096883	Radha Changela	Individual	Pharmacist	Tracy, CA

Verify this record

Cross-check NPI 1104863620 against the authoritative CMS record: view Lucky Stores II LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Lucky Stores II LLC located?

The practice location on file with NPPES is in Tracy, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.