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LAKE WYLIE PHARMACY
NPI 1336424167
Pharmacy - Community/Retail Pharmacy in Lake Wylie, SC

Active since October 12, 2011CLIA 42D2182790 · Waiver
221 LATITUDE LN STE 109, LAKE WYLIE, SC 29710(803) 831-2044(803) 939-8489 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Wylie Pharmacy NPPES

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

LAKE WYLIE PHARMACY (NPI 1336424167) is a healthcare organization registered as a community/retail pharmacy in Lake Wylie, South Carolina and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Kyle Mchugh, President, as its authorized official.

NPPES Registry Identity

NPI1336424167
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKE WYLIE HEALTH INVESTORS INC
Location Address221 LATITUDE LN STE 109Lake Wylie, SC 29710-8117
Mailing AddressPo Box 5343Lake Wylie, SC 29710-5004 · (803) 831-2044 · Fax (803) 939-8389
Phone(803) 831-2044
Fax(803) 939-8489
Organization SubpartNo
Authorized OfficialKyle MchughPresident · (803) 240-9882
Enumeration DateOctober 12, 2011
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1336424167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 13665
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
221 LATITUDE LN STE 109, Lake Wylie, SC 29710
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Other Names 1

Doing Business AsLake Wylie Pharmacy

Other Identifiers 1

Other4230479Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2182790

Lake Wylie Pharmacy · Lake Wylie, SC
Active · expires Apr 26, 2028
CLIA Number42D2182790
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorKyle Mchugh
Laboratory Phone(803) 831-2044
Laboratory LocationLake Wylie Pharmacy221 Latitude Lane Suite109, Lake Wylie, SC 29710
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
128 services128 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
113 services113 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Lake Wylie Pharmacy carries, from the Medicare DMEPOS supplier directory.

Lake Wylie Pharmacy

DMEPOS supplier · Lake Wylie, SCOperated by Lake Wylie Health Investors, Inc
✔

Accepts Medicare assignment

Lake Wylie Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20518265
Medicare Participant SinceOctober 21, 2012
Supplier Location221 Latitude Ln Sutie 109Lake Wylie, SC 29710
Phone(803) 831-2044
Supplier Specialties
Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Seat Lift Mechanisms
Lift chair
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

COURTNEY ELIZABETH ALLEN PHARMD
Pharmacist
221 LATITUDE LN STE 109
LAKE WYLIE, SC 29710
York County (402) 657-9013
NATHAN MEEK PHARMD
Pharmacy (Community/Retail Pharmacy)
221 LATITUDE LN STE 109
LAKE WYLIE, SC 29710
York County (803) 831-2044

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 Wylie Health Investors Inc's NPI number?

The NPI number for Lake Wylie Health Investors Inc is 1336424167. It was assigned to this organization in the NPPES registry on October 12, 2011. The provider is doing business as Lake Wylie Pharmacy.

Where is Lake Wylie Health Investors Inc located?

Lake Wylie Health Investors Inc is located at 221 Latitude Ln Ste 109, Lake Wylie, SC 29710. The listed phone number is (803) 831-2044.

What is Lake Wylie Health Investors Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Lake Wylie Health Investors Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lake Wylie Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Lake Wylie Health Investors Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2182790) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Wylie Health Investors Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Lake Wylie Health Investors Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Wylie Health Investors Inc was last updated on January 27, 2021. 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.