LAKE WIRE PHARMACY INC
NPI 1104983899
Pharmacy in Lakeland, FL
NPI Status: Active since January 02, 2007
Contact Information
505 MARTIN LUTHER KING JR AVE
SUITE 3
LAKELAND, FL
ZIP 33815
Phone: (863) 682-6880
Fax: (863) 688-0721
- Organization
- Pharmacy
About LAKE WIRE PHARMACY INC
This page provides the complete NPI Profile along with additional information for Lake Wire Pharmacy Inc, a provider established in Lakeland, Florida operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1104983899 assigned on January 2007. The practitioner's primary taxonomy code is 333600000X with license number PH10343 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. Lake Wire Pharmacy Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Chorette Bennett Dickens R Ph Pharm D (Pharmacy Manager)
- NPI
- 1104983899
- Provider Name
- LAKE WIRE PHARMACY INC
- Entity Type
- Organization
- Location Address
- 505 MARTIN LUTHER KING JR AVE SUITE 3 LAKELAND, FL 33815
- Location Phone
- (863) 682-6880
- Location Fax
- (863) 688-0721
- Mailing Address
- 505 MARTIN LUTHER KING JR AVE SUITE 3 LAKELAND, FL 33815
- Mailing Phone
- (863) 682-6880
- Mailing Fax
- (863) 688-0721
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- PH10343
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 183500000X | Pharmacy Service Providers | Pharmacist | PS18682 (FL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104983899, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104983899, enumerated as an "organization" on January 02, 2007.
The provider is located at 505 MARTIN LUTHER KING JR AVE SUITE 3 LAKELAND, FL 33815 and the phone number is (863) 682-6880.
Pharmacy with taxonomy code 333600000X.
