Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508274945 Individual Practitioner Female Practitioner

Dr. Nikmala Tan , PharmD

Pharmacist • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Dr. Nikmala Tan, PharmD is a registered healthcare professional specializing in Pharmacist in Lodi, CA. Practice services are available at 1601 S LOWER SACRAMENTO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 S Lower Sacramento Rd

Lodi, CA 952429762

Telephone 2093686658
Fax 2093683907
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1568489813

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
70 Specialists

Practicing in Lodi, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 65685

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1386000123

Doctor of Pharmacy (Pharm.D.)

NPI 1417431933

Doctor of Pharmacy (Pharm.D.)

NPI 1700294147
NPI 1912426016

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 13, 2023

Registered at 1601 S LOWER SACRAMENTO RD, LODI, CA 952429762 (Tel: 2093686658)

📍
Updated Business Mailing Address March 13, 2023

Registered at 1601 S LOWER SACRAMENTO RD, LODI, CA 952429762 (Tel: 2093686658)

NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2014

Registered at 2350 W KETTLEMAN LN, LODI, CA 952424125 (Tel: 2093686660)

📍
Updated Business Mailing Address July 29, 2014

Registered at 2350 W KETTLEMAN LN, LODI, CA 952424125 (Tel: 2093686660)

👤
Provider Name / Credentials Updated July 29, 2014

Recorded as NIKMALA TAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Pharmacist (License #65685 in CA)

🟢
Initial NPI Registration & Enumeration July 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508274945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2014
Last Update: March 13, 2023
Sole Proprietor: No

Mailing Address

1601 S Lower Sacramento Rd

Lodi, CA 952429762

Phone: 2093686658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.