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LAKELAND VILLAGE PHARMACY
NPI 1457414138
Pharmacy - Long Term Care Pharmacy in Medical Lake, WA

Active since December 18, 2006
S 2320 SALNAVE ROAD, MEDICAL LAKE, WA 99022(509) 299-1948(509) 299-1967 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Mar 23, 2018, May 10, 2017 (3 updates tracked since 2017).

About Lakeland Village Pharmacy NPPES

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

LAKELAND VILLAGE PHARMACY (NPI 1457414138) is a healthcare organization registered as a long term care pharmacy in Medical Lake, Washington and active in the NPI registry since December 2006. The organization lists Carmen Joy Berg, Clinical Pharmacist Supervisor, as its authorized official.

NPPES Registry Identity

NPI1457414138
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameWASHINGTON STATE DEPT OF SOCIAL AND HEALTH SERVICES
Location AddressS 2320 SALNAVE ROADMedical Lake, WA 99022-0200
Mailing AddressPo Box 200, S 2320 Salnave RoadMedical Lake, WA 99022-0200 · (509) 299-1948 · Fax (509) 299-1967
Phone(509) 299-1948
Fax(509) 299-1967
Organization SubpartNo
Authorized OfficialCarmen Joy BergClinical Pharmacist Supervisor · (509) 299-1948
Enumeration DateDecember 18, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1457414138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in WA · PHAR.CF.00000468
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
S 2320 SALNAVE ROAD, Medical Lake, WA 99022
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Other Names 1

Other NameLakeland Village Pharmacy

Other Identifiers 1

Other4904795WA · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare and more.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.

LAKELAND VILLAGE
Intermediate Care Facility, Intellectual Disabilities
S 2320 SALNAVE ROAD
MEDICAL LAKE, WA 99022
Spokane County (509) 299-1001
LAKELAND VILLAGE NURSING FACILITY
Nursing Facility/Intermediate Care Facility
S 2320 SALNAVE ROAD
MEDICAL LAKE, WA 99022
Spokane County (509) 299-1989

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 Washington State Dept Of Social And Health Services's NPI number?

The NPI number for Washington State Dept Of Social And Health Services is 1457414138. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is also known as Lakeland Village Pharmacy.

Where is Washington State Dept Of Social And Health Services located?

Washington State Dept Of Social And Health Services is located at S 2320 Salnave Road, Medical Lake, WA 99022. The listed phone number is (509) 299-1948.

What is Washington State Dept Of Social And Health Services's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Washington State Dept Of Social And Health Services accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Washington State Dept Of Social And Health Services 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 Washington State Dept Of Social And Health Services was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.