LAKE HEALTH SERVICES, INC.
NPI 1043071962
Pharmacy - Long Term Care Pharmacy in Clearlake, CA

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

Active since January 18, 2024

15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 994-3141(707) 994-7150 Get Directions Write a Review

NPPES record last updated: February 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lake Health Services, Inc. NPPES

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

LAKE HEALTH SERVICES, INC. (NPI 1043071962), doing business as Lake Pharmacy, is a healthcare organization registered as a long term care pharmacy in Clearlake, California and active in the NPI registry since January 2024. The organization lists Tim Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1043071962

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameLAKE HEALTH SERVICES, INC.

Location Address15230 LAKESHORE DRClearlake, CA 95422-8107

Mailing AddressPo Box 7150Clearlake, CA 95422-7150 · (707) 994-3141

Phone(707) 994-3141

Fax(707) 994-7150

Organization SubpartYes

Authorized OfficialTim NguyenPresident · (707) 994-3141

Enumeration DateJanuary 18, 2024

Last NPPES UpdateFebruary 4, 2024

NPPES CertifiedFebruary 4, 2024

✔ NPI 1043071962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

15230 LAKESHORE DR, Clearlake, CA 95422

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Other Names 1

Doing Business AsLake Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Lake Pharmacy carries, from the Medicare DMEPOS supplier directory.

Lake Pharmacy

DMEPOS supplier · Clearlake, CAOperated by Lake Health Services

✔

Accepts Medicare assignment

Lake Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20454233

Medicare Participant SinceJuly 24, 2018

Supplier Location15230 Lakeshore DrClearlake, CA 95422

Phone(707) 994-3141

Supplier Specialties

Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

PROF. SHARON K LAROCK CNN

Nurse Practitioner (Obstetrics & Gynecology)