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ANGUS LAKE HEALTHCARE, LLC
NPI 1912340829
Pharmacy - Long Term Care Pharmacy in Gordon, GA

Active since April 10, 2013
242 MILLEDGEVILLE HWY, GORDON, GA 31031(229) 520-5151(478) 628-2263 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angus Lake Healthcare, Llc NPPES

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

ANGUS LAKE HEALTHCARE, LLC (NPI 1912340829) is a healthcare organization registered as a long term care pharmacy in Gordon, Georgia and active in the NPI registry since April 2013. The organization lists Carl Lake Stanley, Member, as its authorized official.

NPPES Registry Identity

NPI1912340829
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameANGUS LAKE HEALTHCARE, LLC
Location Address242 MILLEDGEVILLE HWYGordon, GA 31031-3827
Mailing AddressPo Box 249Gordon, GA 31031-0249 · (229) 520-5151 · Fax (478) 628-2263
Phone(229) 520-5151
Fax(478) 628-2263
Organization SubpartNo
Authorized OfficialCarl Lake StanleyMember · (229) 520-5151
Enumeration DateApril 10, 2013
Last NPPES UpdateMay 4, 2017
✔ NPI 1912340829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in GA · PHRE009911
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PHRE009911 (GA)
242 MILLEDGEVILLE HWY, Gordon, GA 31031
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Other Identifiers 1

Medicare NSC7483120001GA

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 ›

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 Angus Lake Healthcare, LLC's NPI number?

The NPI number for Angus Lake Healthcare, LLC is 1912340829. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is Angus Lake Healthcare, LLC located?

Angus Lake Healthcare, LLC is located at 242 Milledgeville Hwy, Gordon, GA 31031. The listed phone number is (229) 520-5151.

What is Angus Lake Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Angus Lake Healthcare, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 13 other insurers list Angus Lake Healthcare, 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 Angus Lake Healthcare, LLC was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.