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LAKE PHARMACY LLC
NPI 1437209616
Pharmacy - Community/Retail Pharmacy in Deatsville, AL

Active since January 11, 2007
95 LIGHTWOOD RD, MAIN ST SLAPOUT, DEATSVILLE, AL 36022(334) 569-2112(334) 569-1143 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Pharmacy Llc NPPES

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

LAKE PHARMACY LLC (NPI 1437209616) is a healthcare organization registered as a community/retail pharmacy in Deatsville, Alabama and active in the NPI registry since January 2007. The organization lists Robert Golden, Owner, as its authorized official.

NPPES Registry Identity

NPI1437209616
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKE PHARMACY LLC
Location Address95 LIGHTWOOD RD, MAIN ST SLAPOUTDeatsville, AL 36022-3494
Mailing Address95 Lightwood Rd, Main St SlapoutDeatsville, AL 36022-3494 · (334) 569-2112 · Fax (334) 569-1143
Phone(334) 569-2112
Fax(334) 569-1143
Organization SubpartNo
Authorized OfficialRobert GoldenOwner · (334) 569-2112
Enumeration DateJanuary 11, 2007
Last NPPES UpdateFebruary 28, 2017
✔ NPI 1437209616 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 AL · 105942
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 ListedPharmacyTaxonomy 333600000X
95 LIGHTWOOD RD, Deatsville, AL 36022
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Other Names 1

Doing Business AsLake Pharmacy Llc

Other Identifiers 2

Medicaid100001378AL
Other2151251Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Medica, Moda Health Plan, Inc..Insurance ›

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.

MRS. MELINDA MIMS PEEVY R.PH.
Pharmacist
95 LIGHTWOOD RD
DEATSVILLE, AL 36022
Elmore County (334) 569-2113
MR. ROBERT L GOLDEN JR.
Pharmacist
95 LIGHTWOOD RD
DEATSVILLE, AL 36022
Elmore County (334) 569-2112

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 Pharmacy LLC's NPI number?

The NPI number for Lake Pharmacy LLC is 1437209616. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Lake Pharmacy LLC located?

Lake Pharmacy LLC is located at 95 Lightwood Rd Main St Slapout, Deatsville, AL 36022. The listed phone number is (334) 569-2112.

What is Lake Pharmacy LLC's specialty?

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

What insurance does Lake Pharmacy LLC accept?

Health plans from Humana, Medica and Moda Health Plan, Inc. list Lake Pharmacy LLC 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 Pharmacy LLC was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.