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LAKE REGIONAL PHARMACY - CMC
NPI 1407960479
Pharmacy in Camdenton, MO

Active since August 18, 2006
1930-C NORTH BUSINESS ROUTE 5, CAMDENTON, MO 65020(573) 346-2300(573) 346-8409 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 7, 2025, Oct 16, 2023, Jan 26, 2017 and 1 more (4 updates tracked since 2015).

About Lake Regional Pharmacy - Cmc NPPES

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

LAKE REGIONAL PHARMACY - CMC (NPI 1407960479) is a healthcare organization registered as a pharmacy in Camdenton, Missouri and active in the NPI registry since August 2006. The organization lists Paula Sue Littleton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407960479
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLAKE REGIONAL HEALTH SYSTEM
Location Address1930-C NORTH BUSINESS ROUTE 5Camdenton, MO 65020-2659
Mailing AddressPo Box 1560Osage Beach, MO 65065-1560 · (573) 346-2300 · Fax (573) 346-8409
Phone(573) 346-2300
Fax(573) 346-8409
Organization SubpartNo
Authorized OfficialPaula Sue LittletonCfo · (573) 348-8388
Enumeration DateAugust 18, 2006
Last NPPES UpdateJanuary 7, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1407960479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 005731
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1930-C NORTH BUSINESS ROUTE 5, Camdenton, MO 65020
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Other Names 1

Doing Business AsLake Regional Pharmacy - Cmc

Other Identifiers 2

Medicaid600054704MO
Other2047179Pk

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 ›

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 Regional Health System's NPI number?

The NPI number for Lake Regional Health System is 1407960479. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Lake Regional Pharmacy - Cmc.

Where is Lake Regional Health System located?

Lake Regional Health System is located at 1930-C North Business Route 5, Camdenton, MO 65020. The listed phone number is (573) 346-2300.

What is Lake Regional Health System's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Lake Regional Health System 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 49 other insurers list Lake Regional Health System 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 Regional Health System was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.