CHANCY DRUGS
NPI 1508964537
Pharmacy - Community/Retail Pharmacy in Lake Park, GA

Q: What is Lake Park Pharmacy LLC's NPI number?

The NPI number for Lake Park Pharmacy LLC is 1508964537. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Chancy Drugs.

Q: What is Lake Park Pharmacy LLC's specialty?

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

Active since September 21, 2006

453 LAKES BLVD, LAKE PARK, GA 31636(229) 559-9394(229) 559-9408 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chancy Drugs NPPES

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

CHANCY DRUGS (NPI 1508964537) is a healthcare organization registered as a community/retail pharmacy in Lake Park, Georgia and active in the NPI registry since September 2006. The organization lists Hugh Chancy, Owner, as its authorized official.

NPPES Registry Identity

NPI1508964537

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLAKE PARK PHARMACY LLC

Location Address453 LAKES BLVDLake Park, GA 31636-6607

Mailing Address453 Lakes BlvdLake Park, GA 31636-6607 · (229) 559-9394 · Fax (229) 559-9408

Phone(229) 559-9394

Fax(229) 559-9408

Organization SubpartNo

Authorized OfficialHugh ChancyOwner · (229) 794-3525

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJune 10, 2015

✔ NPI 1508964537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in GA · PHRE008870

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.

453 LAKES BLVD, Lake Park, GA 31636

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Other Names 1

Doing Business AsChancy Drugs

Other Identifiers 3

Medicare NSC5929630001

Medicaid0008211566BGA

Other2015653Pk

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 11D2188249

Lake Park Pharmacy Dba Chancy Drugs · Lake Park, GA

Expired · Jul 14, 2026

CLIA Number11D2188249

Laboratory TypePharmacy

Certificate Effective DateJuly 15, 2024

Certificate Expiration DateJuly 14, 2026

Laboratory DirectorWendy A. Dorminey

Laboratory Phone(229) 559-9394

Laboratory LocationLake Park Pharmacy Dba Chancy Drugs453 Lakes Boulevard, Lake Park, GA 31636

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Park Pharmacy LLC's NPI number?

The NPI number for Lake Park Pharmacy LLC is 1508964537. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Chancy Drugs.

Where is Lake Park Pharmacy LLC located?

Lake Park Pharmacy LLC is located at 453 Lakes Blvd, Lake Park, GA 31636. The listed phone number is (229) 559-9394.

What is Lake Park 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 Park Pharmacy LLC 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 48 other insurers list Lake Park 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 Park Pharmacy LLC was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.