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LAKE COUNTRY HEALTHCARE LLC
NPI 1942215561
Pharmacy - Long Term Care Pharmacy in Welling, OK

Active since July 30, 2006
27753 S WELLING RD, WELLING, OK 74471(918) 457-9997(918) 457-5096 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Country Healthcare Llc NPPES

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

LAKE COUNTRY HEALTHCARE LLC (NPI 1942215561) is a healthcare organization registered as a long term care pharmacy in Welling, Oklahoma and active in the NPI registry since July 2006. The organization lists Marsena Mcintosh, Manager, as its authorized official.

NPPES Registry Identity

NPI1942215561
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLAKE COUNTRY HEALTHCARE LLC
Location Address27753 S WELLING RDWelling, OK 74471-2202
Mailing Address27753 S Welling RdWelling, OK 74471-2202 · (918) 457-9997 · Fax (918) 457-5096
Phone(918) 457-9997
Fax(918) 457-5096
Organization SubpartNo
Authorized OfficialMarsena McintoshManager · (918) 457-5535
Enumeration DateJuly 30, 2006
Last NPPES UpdateDecember 16, 2011
✔ NPI 1942215561 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 OK · 365591
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 ListedPharmacyTaxonomy 333600000X
27753 S WELLING RD, Welling, OK 74471
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Other Names 1

Doing Business AsLake Country Healthcare Llc

Other Identifiers 2

Other3723625Ncpdp Provider Identification Number
Medicaid200008180AOK

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 ›

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.

TANESHA LACIE CARTER
Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 422-4888
MELISSA KELLEY
Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 457-4999
AUTUMN KETCHER
Specialist
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 457-5595
BECKY GONELLI
Counselor
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 797-7786
MS. DEBRA ANN SHEPHERD M.S.
Counselor (Professional)
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 457-4999
LEAH RENEE SMITH RN
Registered Nurse
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 316-0576
TENKILLER BEHAVIORAL SERVICES INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 457-4999
SANDRA GIRDNER BS
Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471
Cherokee County (918) 457-4999

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 Country Healthcare LLC's NPI number?

The NPI number for Lake Country Healthcare LLC is 1942215561. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Lake Country Healthcare LLC located?

Lake Country Healthcare LLC is located at 27753 S Welling Rd, Welling, OK 74471. The listed phone number is (918) 457-9997.

What is Lake Country 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 Lake Country Healthcare LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield and Baylor Scott and White Health Plan and 15 other insurers list Lake Country 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 Lake Country Healthcare LLC was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.