LAKE PHARMACY
NPI 1710584388
Pharmacy - Community/Retail Pharmacy in Hidden Valley Lake, CA

Active since October 06, 2020
18990 COYOTE VALLEY RD STE 2&3, HIDDEN VALLEY LAKE, CA 95467(707) 994-3141 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2020, Oct 13, 2020, Oct 6, 2020 (3 updates tracked since 2020).

About Lake Pharmacy NPPES

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

LAKE PHARMACY (NPI 1710584388) is a healthcare organization registered as a community/retail pharmacy in Hidden Valley Lake, California and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Clearlake and lists Tim Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1710584388
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKE HEALTH SERVICES, INC.
Location Address18990 COYOTE VALLEY RD STE 2&3Hidden Valley Lake, CA 95467-8337
Mailing AddressPo Box 7150Clearlake, CA 95422-7150 · (707) 994-3141 · Fax (707) 994-7150
Organization SubpartYes
Authorized OfficialTim NguyenPresident · (925) 586-2112
Enumeration DateOctober 6, 2020
Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1710584388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
18990 COYOTE VALLEY RD STE 2&3, Hidden Valley Lake, CA 95467

Other Names 1

Doing Business AsLake Pharmacy

Secondary Practice Location 1

Location 115230 Lakeshore DrClearlake, CA 95422-8107 · Phone (707) 994-3141 · Fax (707) 994-7150

Accepted Insurance

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 Health Services, Inc.'s NPI number?

The NPI number for Lake Health Services, Inc. is 1710584388. It was assigned to this organization in the NPPES registry on October 6, 2020. The provider is doing business as Lake Pharmacy.

Where is Lake Health Services, Inc. located?

Lake Health Services, Inc. is located at 18990 Coyote Valley Rd Ste 2&3, Hidden Valley Lake, CA 95467. The listed phone number is (707) 994-3141.

What is Lake Health Services, 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 Health Services, Inc. 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 Health Services, 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 Health Services, Inc. was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.