LAKE PARK PHARMACY
NPI 1528245883
Durable Medical Equipment & Medical Supplies in Lake Park, GA

NPI Status: Active since January 29, 2008

Contact Information

1016 LAKES BLVD
LAKE PARK, GA
ZIP 31636
Phone: (229) 559-9394
Fax: (229) 559-9408

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About LAKE PARK PHARMACY

This page provides the complete NPI Profile along with additional information for Lake Park Pharmacy, a provider established in Lake Park, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1528245883 assigned on January 2008. The practitioner's primary taxonomy code is 332B00000X with license number PHRE008870 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Lake Park Pharmacy. The authorized official of this NPI record is Dr. Wendy A Dorminey Pharmd (Pharmacy Manager)

NPI
1528245883
Provider Legal Name
LAKE PARK PHARMACY, LLC
Other Organization Name
LAKE PARK PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1016 LAKES BLVD LAKE PARK, GA 31636
Location Phone
(229) 559-9394
Location Fax
(229) 559-9408
Mailing Address
1016 LAKES BLVD LAKE PARK, GA 31636
Mailing Phone
(229) 559-9394
Mailing Fax
(229) 559-9408
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2008
Last Update Date
01-29-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
PHRE008870
License State
GA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WENDY A DORMINEY PHARMD

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(229) 559-9398

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5929630001MEDICARE NSC (07) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528245883
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25484410816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 4 + 1 + 0 + 8 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1528245883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MRS. WENDY ANN DORMINEY PHARM D CDM

Pharmacist

1016 LAKES BLVD
LAKE PARK, GA
ZIP 31636

(229) 559-9398

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528245883, enumerated as an "organization" on January 29, 2008.

The provider is located at 1016 LAKES BLVD LAKE PARK, GA 31636 and the phone number is (229) 559-9394.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.