LANCE LAKE RPH
NPI 1003196569
Pharmacist in Ozark, MO

Active since August 27, 2011
1675 W SOUTH ST, OZARK, MO 65721(417) 485-0762(417) 485-0793 Get Directions Write a Review

NPPES record last updated: August 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lance Lake Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANCE LAKE RPH (NPI 1003196569) is an individual pharmacist in Ozark, Missouri, licensed in Missouri (2001010937) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1003196569
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameLANCE LAKECredential: RPH
Location Address1675 W SOUTH STOzark, MO 65721-5152
Mailing Address1675 W South StOzark, MO 65721-5152 · (417) 485-0762 · Fax (417) 485-0793
Fax(417) 485-0793
Sole ProprietorYes
Enumeration DateAugust 27, 2011
NPI 1003196569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MO · 2001010937 Licensed in SD · 4847
Definition
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.
1675 W SOUTH ST, Ozark, MO 65721

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Ambulatory Care)
1675 W SOUTH ST
OZARK, MO 65721
Pharmacist
1675 W SOUTH ST
OZARK, MO 65721
Pharmacy
1675 W SOUTH ST
OZARK, MO 65721
Pharmacist
1675 W SOUTH ST
OZARK, MO 65721
Pharmacist
1675 W SOUTH ST
OZARK, MO 65721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lance Lake's NPI number?

The NPI number for Lance Lake is 1003196569. It was assigned to this individual provider in the NPPES registry on August 27, 2011.

Where is Lance Lake located?

Lance Lake practices at 1675 W South St, Ozark, MO 65721. The listed phone number is (417) 485-0762.

What is Lance Lake's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Lance Lake was last updated on August 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.