LAKE NORMAN BARIATRICS
NPI 1124621198
Pharmacy - Clinic Pharmacy in Mooresville, NC

Q: What is Lake Norman Bariatrics's NPI number?

The NPI number for Lake Norman Bariatrics is 1124621198. It was assigned to this organization in the NPPES registry on November 20, 2020.

Q: What is Lake Norman Bariatrics's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since November 20, 2020

108 ALEXANDER BANK DR, SUITE 200, MOORESVILLE, NC 28117(704) 660-4584 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lake Norman Bariatrics NPPES

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

LAKE NORMAN BARIATRICS (NPI 1124621198) is a healthcare organization registered as a clinic pharmacy in Mooresville, North Carolina and active in the NPI registry since November 2020. The organization lists Timothy Ryan Heider, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1124621198

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameLAKE NORMAN BARIATRICS

Location Address108 ALEXANDER BANK DR, SUITE 200Mooresville, NC 28117

Mailing Address108 Alexander Bank Dr, Suite 232Mooresville, NC 28117 · (704) 660-4584

Phone(704) 660-4584

Organization SubpartNo

Authorized OfficialTimothy Ryan HeiderSurgeon · (704) 402-2506

Enumeration DateNovember 20, 2020

NPPES CertifiedNovember 16, 2020

✔ NPI 1124621198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

108 ALEXANDER BANK DR, Mooresville, NC 28117

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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 Norman Bariatrics's NPI number?

The NPI number for Lake Norman Bariatrics is 1124621198. It was assigned to this organization in the NPPES registry on November 20, 2020.

Where is Lake Norman Bariatrics located?

Lake Norman Bariatrics is located at 108 Alexander Bank Dr Suite 200, Mooresville, NC 28117. The listed phone number is (704) 660-4584.

What is Lake Norman Bariatrics's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Lake Norman Bariatrics was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.