Fairmont Pharmacy
Fairmont Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Lodi, CA, holding Type 2 (organization) NPI 1689063331 since 2015. The authorized official on file is Beatle Tran, Ceo/Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689063331 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fairmont Pharmacy |
| Practice address | 1121 W VINE ST STE 13, SUITE 13, Lodi, CA, 95240 |
| Phone | 2096258633 |
| Fax | 2096258629 |
| Enumeration date | 2015-01-20 |
| Last updated in NPPES | 2015-03-17 |
Authorized official
| Name | Beatle Tran |
|---|---|
| Title | Ceo/Pharmacist |
| Phone | 2099389556 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY52074 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY52074 | Other | CA | CA BOARD OF PHARMACY |
Copy-ready billing details
Provider: Fairmont Pharmacy NPI: 1689063331 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1121 W VINE ST STE 13, SUITE 13, Lodi, CA, 95240
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689442956 | Fairmont Pharmacy | Organization | Community/Retail Pharmacy | Lodi, CA |
Verify this record
Cross-check NPI 1689063331 against the authoritative CMS record: view Fairmont Pharmacy 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
What type of organization is Fairmont Pharmacy?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2015-03-17.