LAKE PHARMACY
NPI 1770580268
Pharmacy - Community/Retail Pharmacy in Clearlake, CA

Q: What is Lake Health Services's NPI number?

The NPI number for Lake Health Services is 1770580268. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Lake Pharmacy.

Q: What is Lake Health Services's specialty?

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

Active since June 30, 2005

15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 994-3141(707) 994-7150 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2018, Nov 7, 2018, Jul 24, 2018 and 4 more (7 updates tracked since 2016).

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About Lake Pharmacy NPPES

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

LAKE PHARMACY (NPI 1770580268) is a healthcare organization registered as a community/retail pharmacy in Clearlake, California and active in the NPI registry since June 2005. The organization lists Tim Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1770580268

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLAKE HEALTH SERVICES

Location Address15230 LAKESHORE DRClearlake, CA 95422

Mailing AddressPo Box 6376Clearlake, CA 95422-7150 · (707) 994-3141

Phone(707) 994-3141

Fax(707) 994-7150

Organization SubpartYes

Authorized OfficialTim NguyenPresident · (925) 586-2112

Enumeration DateJune 30, 2005

Last NPPES UpdateMay 1, 20207 updates tracked since enumeration

NPPES CertifiedMay 1, 2020

✔ NPI 1770580268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY55420

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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

15230 LAKESHORE DR, Clearlake, CA 95422

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Other Names 1

Doing Business AsLake Pharmacy

Other Identifiers 2

MedicaidPHA471230CA

Other2001004Pk

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 ›

Other Providers at the Same Location NPPES 20

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

AILEEN ELIZABETH KLEIN LCSW

Social Worker (Clinical)