LAKE ELLA PHARMACY (NPI# 1407199169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407199169 |
| Entity Type | Organization |
| Organization Name | LAKE ELLA PHARMACY |
| Other Organization Name | LAKE ELLA PHARMACY |
| Practice Address |
2525 S Monroe St Ste 6 Tallahassee FL 32301-6353 |
| Mailing Address |
4313 Maylor Ln Tallahassee FL 32308-5773 |
| Practice Telephone | 8507278736 |
| Practice Fax Number | 8507278736 |
| Mailing Telephone | 8508244660 |
| Mailing Fax Number | 8507278736 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | SAMUEL MENSAH-MAMFO (OWNER / PIC) |
| Authorized Official Telephone | 8502844660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH26779 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2139664 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Ella Pharmacy | Doing Business As Name - Organization |
| Street Address |
2525 S MONROE ST STE 6 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-6353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114305810 | Economy Drug Store | Pharmacy | 319 N Macomb St, Tallahassee, FL 32301-1017 | 2015-05-13 |
| 1710305164 | Shs Pharmacy | Pharmacy | 1733 N Monroe St Ste A, Tallahassee, FL 32303-5534 | 2014-04-02 |
| 1356774012 | Ayers Quick Personal Perscription Pick Up/ Delvery Service Nc | Pharmacy | 1469 Valley Green Dr, Tallahassee, FL 32303-3350 | 2013-08-16 |
| 1598903866 | Wal-mart Stores East Lp | Pharmacy | 3221 N Monroe St, Tallahassee, FL 32303-2821 | 2009-01-26 |
| 1437327707 | Costco Wholesale Corporation | Pharmacy | 4067 Lagniappe Way, Tallahassee, FL 32317 | 2008-02-20 |
| 1992910020 | Terry Yon and Associates Inc. | Pharmacy | 2901 E Park Ave, Unit 1300, Tallahassee, FL 32301-3426 | 2007-05-11 |
| 1164545083 | Pharmacy of America, LLC | Pharmacy | 2613 Centerville Rd, Tallahassee, FL 32308-4503 | 2007-04-07 |
| 1194849240 | Thagard Student Health Center | Pharmacy | 137 Collegiate Way Fsu Tshc, Tallahassee, FL 32306-2140 | 2007-03-16 |
| 1235278169 | Eastwood Pharmacy Inc | Pharmacy | 1605 E Plaza Drive, Tallahassee, FL 32308 | 2007-02-06 |
| 1770680266 | Holiday Cvs LLC | Pharmacy | 5670 N Monroe St, Tallahassee, FL 32303-7906 | 2006-09-19 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
Please comment or provide details below to improve the information on LAKE ELLA PHARMACY.
| 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.