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LAKE COUNTRY PHARMACY
NPI 1184612749
Pharmacist in Oconomowoc, WI

Active since October 07, 2005
791 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 569-0284(262) 569-0539 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Country Pharmacy NPPES

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

LAKE COUNTRY PHARMACY (NPI 1184612749) is a healthcare organization registered as a pharmacist in Oconomowoc, Wisconsin and active in the NPI registry since October 2005. The organization lists Mary Jo Houston, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1184612749
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameLAKE COUNTRY PHARMACY
Location Address791 SUMMIT AVEOconomowoc, WI 53066-3844
Mailing Address791 Summit AveOconomowoc, WI 53066-3844 · (262) 569-0284 · Fax (262) 569-0539
Phone(262) 569-0284
Fax(262) 569-0539
Organization SubpartNo
Authorized OfficialMary Jo HoustonPharmacist · (262) 569-0284
Enumeration DateOctober 7, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184612749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 6944
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
791 SUMMIT AVE, Oconomowoc, WI 53066
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Other Identifiers 2

Other5119549Nabp
Medicaid33161400WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

EVGENIYA KHEN NP
Nurse Practitioner (Acute Care)
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-9400
THOMAS RUFFALO PA
Physician Assistant
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-9119
DR. TERRENCE J GAYNOR M.D.
Anesthesiology
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-9400
DR. RICHARD MORRIS HANSEN MD
Internal Medicine (Hematology & Oncology)
791 SUMMIT AVE, PROHEALTH CARE REGIONAL CANCER CENTER
OCONOMOWOC, WI 53066
Waukesha County (262) 569-0554
NORHAN MOHAMMED M.D.
Internal Medicine (Cardiovascular Disease)
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-9400
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.
General Acute Care Hospital
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 928-2510
JAMES JOSEPH HARPER M.D.
Emergency Medicine
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-0251
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.
Pharmacy (Institutional Pharmacy)
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-0471

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 Country Pharmacy's NPI number?

The NPI number for Lake Country Pharmacy is 1184612749. It was assigned to this organization in the NPPES registry on October 7, 2005.

Where is Lake Country Pharmacy located?

Lake Country Pharmacy is located at 791 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 569-0284.

What is Lake Country Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Lake Country Pharmacy was last updated on August 22, 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.