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NORTH LAKE MEDICAL PHARMACY #2
NPI 1376577023
Pharmacy - Community/Retail Pharmacy in Lakeport, CA

Active since July 10, 2006CLIA 05D2230288 · Waiver
347 LAKEPORT BLVD, LAKEPORT, CA 95453(707) 263-1328(707) 263-0864 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2024, Apr 1, 2020 (2 updates tracked since 2020).

About North Lake Medical Pharmacy #2 NPPES

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

NORTH LAKE MEDICAL PHARMACY #2 (NPI 1376577023) is a healthcare organization registered as a community/retail pharmacy in Lakeport, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Robert Daniel Neeley, Owner, as its authorized official.

NPPES Registry Identity

NPI1376577023
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNEELEY FAMILY, INC
Location Address347 LAKEPORT BLVDLakeport, CA 95453-5412
Mailing Address347 Lakeport BlvdLakeport, CA 95453-5412 · (707) 263-1328 · Fax (707) 263-0864
Phone(707) 263-1328
Fax(707) 263-0864
Organization SubpartNo
Authorized OfficialRobert Daniel NeeleyOwner · (707) 263-1328
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1376577023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY412710
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.
347 LAKEPORT BLVD, Lakeport, CA 95453
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Lake Medical Pharmacy #2

Other Identifiers 1

MedicaidPHA412710CA

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 05D2230288

Neely Family Inc Dba North Lake Medical Pharmacy #2 · Lakeport, CA
Active · expires Jul 20, 2027
CLIA Number05D2230288
Laboratory TypePharmacy
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorRobert Neeley
Laboratory Phone(707) 263-1328
Laboratory LocationNeely Family Inc Dba North Lake Medical Pharmacy #2347 Lakeport Blvd, Lakeport, CA 95453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
316 services313 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.
259 services259 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.
14 services14 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories North Lake Medical Pharmacy #2 carries, from the Medicare DMEPOS supplier directory.

North Lake Medical Pharmacy #2

DMEPOS supplier · Lakeport, CAOperated by Neeley Family Inc
⋮

Does not accept Medicare assignment

North Lake Medical Pharmacy #2 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20412365
Medicare Participant SinceAugust 19, 2020
Supplier Location347 Lakeport BlvdLakeport, CA 95453
Phone(707) 263-1328
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
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

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

NEELEY CLINICAL SERVICES INC
Clinic/Center
347 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 263-1328

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 Neeley Family, Inc's NPI number?

The NPI number for Neeley Family, Inc is 1376577023. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as North Lake Medical Pharmacy #2.

Where is Neeley Family, Inc located?

Neeley Family, Inc is located at 347 Lakeport Blvd, Lakeport, CA 95453. The listed phone number is (707) 263-1328.

What is Neeley Family, Inc's specialty?

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

Does Neeley Family, Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, North Lake Medical Pharmacy #2 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Neeley Family, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2230288) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Neeley Family, 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 47 other insurers list Neeley Family, 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 Neeley Family, Inc was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.