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LAKE VILLAGE DRUGSTORE, INC.
NPI 1487789400
Pharmacy - Community/Retail Pharmacy in Lake Village, AR

Active since February 22, 2007
2907 HWY 65-82 SOUTH, LAKE VILLAGE, AR 71653(870) 265-5555(870) 265-3174 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Lake Village Drugstore, Inc. NPPES

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

LAKE VILLAGE DRUGSTORE, INC. (NPI 1487789400) is a healthcare organization registered as a community/retail pharmacy in Lake Village, Arkansas and active in the NPI registry since February 2007. The organization lists Kamila Lea Crouse, Pharmacy Manager/pharmacist In Char, as its authorized official.

NPPES Registry Identity

NPI1487789400
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKE VILLAGE DRUGSTORE, INC.
Location Address2907 HWY 65-82 SOUTHLake Village, AR 71653
Mailing AddressPo Box 548Lake Village, AR 71653-0548 · (870) 265-5555
Phone(870) 265-5555
Fax(870) 265-3174
Organization SubpartNo
Authorized OfficialKamila Lea CrousePharmacy Manager/pharmacist In Char · (870) 265-5555
Enumeration DateFebruary 22, 2007
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1487789400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacistTaxonomy 183500000X · License 0403890 (AR)
2907 HWY 65-82 SOUTH, Lake Village, AR 71653
Open in Google Maps ↗

Other Identifiers 1

Medicaid100517407AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. KAMILA LEA CROUSE PHARM .D.
Pharmacist
2907 HWY 65-82 SOUTH
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5555

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 Village Drugstore, Inc.'s NPI number?

The NPI number for Lake Village Drugstore, Inc. is 1487789400. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Lake Village Drugstore, Inc. located?

Lake Village Drugstore, Inc. is located at 2907 Hwy 65-82 South, Lake Village, AR 71653. The listed phone number is (870) 265-5555.

What is Lake Village Drugstore, Inc.'s specialty?

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

What insurance does Lake Village Drugstore, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield and Avera Health Plans and 29 other insurers list Lake Village Drugstore, 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 Village Drugstore, Inc. was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.