Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Fairmont Pharmacy

Community/Retail Pharmacy in Lodi, CA · enumerated 2023 · authorized official Beatle Tran, Ceo/Pharmd.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689442956

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Registry record

Entity type Organization (Type 2)

Legal business name Fairmont Pharmacy

Parent organization Fairmont Pharmacy

Practice address 1121 W Vine St Ste 13, Lodi, CA, 95240

Phone (209) 625-8633

Fax (209) 625-8629

Enumeration date Dec 18, 2023

Last updated in NPPES Dec 18, 2023

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Beatle Tran

Title Ceo/Pharmd

Phone (209) 938-9556

Other identifiers

Identifier	Type	State	Issuer
1689063331	Medicaid	CA	-
PHY52074	Other	CA	FACILITY STATE PHARMACY LICENSE - CALIFORNIA

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.

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Frequently asked questions

Where is Fairmont Pharmacy located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-12-18. Verify at npiregistry.cms.hhs.gov.

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Fairmont Pharmacy Community/Retail Pharmacy · Lodi, CA NPI 1689063331

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-18.