LAKEVIEW PHARMACY OF RACINE INC (NPI# 1154325199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154325199 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW PHARMACY OF RACINE INC |
| Other Organization Name | LAKEVIEW PHARMACY OF RACINE INC |
| Practice Address |
516 Monument Sq Racine WI 53403-1033 |
| Practice Telephone | 2626320520 |
| Practice Fax Number | 2626326777 |
| Mailing Telephone | 2626320520 |
| Mailing Fax Number | 2626326777 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | CHERYL A ROBOTKA (BILLING MANAGER) |
| Authorized Official Telephone | 2626321830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
7185-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33069400 | 05 | |
| PK | 2114710 | 01 |
| Other Name | Type Code |
|---|---|
| LAKEVIEW PHARMACY OF RACINE INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416097 | Lakeview Pharmacy of Racine Inc | Pharmacy | 517 Wisconsin Ave, Racine, WI 53403-1050 | 2005-06-08 |
| Street Address |
516 MONUMENT SQ |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568917912 | Cristina Aponte | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2016-08-15 |
| 1417349614 | Ann Schnepf-visor | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2015-02-24 |
| 1497191274 | Megan Renee Haapanen | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2013-05-20 |
| 1619217429 | Lisa Hammel | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2013-02-15 |
| 1265724801 | Lisa D Boerner | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2011-05-13 |
| 1972638336 | Debbie Jeannine Locurto | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2007-02-23 |
| 1114060365 | Pete Ciaramita | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2007-02-15 |
| 1336282557 | Amy Schiveley | Pharmacist | 516 Monument Sq, Racine, WI 53403-1033 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1164974523 | Genoa Healthcare, LLC | Pharmacy | 1717 Taylor Ave Ste P1, Racine, WI 53403-2405 | 2016-11-01 |
| 1396752341 | Walgreen Co | Pharmacy | 1920 Douglas Ave, Racine, WI 53402-4614 | 2006-08-02 |
| 1194730085 | Walgreen Co | Pharmacy | 3825 Durand Ave, Racine, WI 53405-4424 | 2006-07-29 |
| 1740295633 | Walgreen Co | Pharmacy | 819 N Memorial Dr, Racine, WI 53404-3270 | 2006-07-29 |
| 1225062441 | Aurora Pharmacy Inc | Pharmacy | 3900 Erie St, Suite 100, Racine, WI 53402-3544 | 2006-07-11 |
| 1265466486 | Aurora Pharmacy Inc | Pharmacy | 2210 Rapids Dr, Racine, WI 53404-2050 | 2006-07-11 |
| 1255372124 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1122 West Blvd, Racine, WI 53405-3020 | 2006-06-09 |
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| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| 1407408420 | Hayat Pharmacy 18 LLC | Pharmacy | 140 E Water St Ste 3, West Bend, WI 53095-3415 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.