ROY JARETH LACKEY PA-C
NPI 1962169011
Physician Assistant in Fpo, AE
About Roy Jareth Lackey Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROY JARETH LACKEY PA-C (NPI 1962169011) is an individual physician assistant in Fpo, AE, licensed in California (PA62549) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roy Jareth Lackey Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Roy Lackey's NPI number?
The NPI number for Roy Lackey is 1962169011. It was assigned to this individual provider in the NPPES registry on November 23, 2021.
Where is Roy Lackey located?
Roy Lackey practices at Psc 819 Box 18, Fpo, AE 09645. The listed phone number is (314) 727-3606.
What is Roy Lackey's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Roy Lackey enrolled in Medicare?
Yes. Roy Lackey is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Roy Lackey was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.