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

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: August 09, 2026.

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.

AILEEN ELIZABETH KLEIN LCSW
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4543
MRS. MELANIE IRENE CARUSO LVN
Licensed Vocational Nurse
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4500
MARIAN ROSE PENA LCSW
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4500
KATRICE CHRISTINE MALISZEWSKI
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4545
VERONICA HARRISON LCSW
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4545
KRITHIKA UMESH PESHWE MD
Psychiatry & Neurology (Neurology)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4500
SHICHANG HAO MD
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4530
MS. KATHERINE ROBIN WILLEMS FNP
Nurse Practitioner (Family)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4500

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 Lake Health Services, Inc.'s NPI number?

The NPI number for Lake Health Services, Inc. is 1043071962. It was assigned to this organization in the NPPES registry on January 18, 2024. The provider is doing business as Lake Pharmacy.

Where is Lake Health Services, Inc. located?

Lake Health Services, Inc. is located at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 994-3141.

What is Lake Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Lake Health Services, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lake Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lake Health Services, Inc. accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City and Sanford Health Plan list Lake Health Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Health Services, Inc. was last updated on February 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.