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LAKE WIRE PHARMACY INC
NPI 1104983899
Pharmacy in Lakeland, FL

Active since January 02, 2007
505 MARTIN LUTHER KING JR AVE, SUITE 3, LAKELAND, FL 33815(863) 682-6880(863) 688-0721 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Lake Wire Pharmacy Inc NPPES

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

LAKE WIRE PHARMACY INC (NPI 1104983899) is a healthcare organization registered as a pharmacy in Lakeland, Florida and active in the NPI registry since January 2007. The organization lists Chorette Bennett Dickens, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1104983899
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLAKE WIRE PHARMACY INC
Location Address505 MARTIN LUTHER KING JR AVE, SUITE 3Lakeland, FL 33815
Mailing Address505 Martin Luther King Jr Ave, Suite 3Lakeland, FL 33815 · (863) 682-6880 · Fax (863) 688-0721
Phone(863) 682-6880
Fax(863) 688-0721
Organization SubpartNo
Authorized OfficialChorette Bennett DickensPharmacy Manager · (863) 682-6880
Enumeration DateJanuary 2, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104983899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH10343
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacistTaxonomy 183500000X · License PS18682 (FL)
505 MARTIN LUTHER KING JR AVE, Lakeland, FL 33815
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BLAKE AND FRANKLIN MD PA
General Practice
505 MARTIN LUTHER KING JR AVE, STE 2
LAKELAND, FL 33815
Polk County (863) 683-5567

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 Wire Pharmacy Inc's NPI number?

The NPI number for Lake Wire Pharmacy Inc is 1104983899. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Lake Wire Pharmacy Inc located?

Lake Wire Pharmacy Inc is located at 505 Martin Luther King Jr Ave Suite 3, Lakeland, FL 33815. The listed phone number is (863) 682-6880.

What is Lake Wire Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Lake Wire Pharmacy Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.