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CONNOR TRENTON LAKE PHARMD
NPI 1265263701
Pharmacist in Hannibal, MO

Active since August 07, 2024
3650 STARDUST DR, HANNIBAL, MO 63401(573) 406-0682 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connor Trenton Lake Pharmd NPPES

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

CONNOR TRENTON LAKE PHARMD (NPI 1265263701) is an individual pharmacist in Hannibal, Missouri, licensed in Missouri (2024031293) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1265263701
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCONNOR TRENTON LAKECredential: PHARMD
Location Address3650 STARDUST DRHannibal, MO 63401-2411
Mailing Address3650 Stardust DrHannibal, MO 63401-2411 · (573) 406-0682
Phone(573) 406-0682
Sole ProprietorNo
Enumeration DateAugust 7, 2024
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1265263701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MO · 2024031293✔ Licensed in IL · 051306670
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.
3650 STARDUST DR, Hannibal, MO 63401
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Other Providers at the Same Location NPPES 12

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

PAUL TRACY OD
Optometrist
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 406-1503
JUDY WILCOX
Pharmacist
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 406-0682
HANNIBAL REGIONAL HEALTHCARE SYSTEM,INC
Clinic/Center (Rural Health)
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 231-0660
WAL-MART STORES EAST, LP
Eyewear Supplier
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 221-5610
HANNIBAL REGIONAL HOSPITAL
Clinic/Center (Multi-Specialty)
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 231-0660
KAYLEE RENAE KARCHER PHARMD
Pharmacist
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 406-0682
JEANETTE MARIE KELLER FNP-BC
Nurse Practitioner (Family)
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 629-3400
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
3650 STARDUST DR
HANNIBAL, MO 63401
Marion County (573) 406-0682

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 Connor Lake's NPI number?

The NPI number for Connor Lake is 1265263701. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Connor Lake located?

Connor Lake practices at 3650 Stardust Dr, Hannibal, MO 63401. The listed phone number is (573) 406-0682.

What is Connor Lake'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 Connor Lake was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.