LAKESHORE MEDIC PHARMACY (NPI# 1619067626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619067626 |
| Entity Type | Organization |
| Organization Name | LAKESHORE MEDIC PHARMACY |
| Practice Address |
2001 Enterprise Blvd Lake Charles LA 70601 |
| Practice Telephone | 3374364388 |
| Practice Fax Number | 3374364389 |
| Mailing Telephone | 3374364388 |
| Mailing Fax Number | 3374364389 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-12-12 |
| Authorized Official Name | MR. MAURICE L GOLD (OWNER) |
| Authorized Official Telephone | 3374364388 |
| Authorized Official Credential | PHARMACIST RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
2001 ENTERPRISE BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285904771 | Delbert Manuel | Pharmacist | 2001 Enterprise Blvd, Lake Charles, LA 70601-7663 | 2011-12-30 |
| 1548537715 | Maurice L Gold | Pharmacist | 2001 Enterprise Blvd, Lake Charles, LA 70601-7663 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1841698909 | Hobgood Pharmacy, LLC | Pharmacy | 2640 Country Club Rd Ste 150, Lake Charles, LA 70605-6079 | 2014-12-05 |
| 1033356944 | Thrifty Way of Lake Charles | Pharmacy | 1001 3rd Ave, Lake Charles, LA 70601-4640 | 2009-01-14 |
| 1750446183 | Lake Charles Pharmaceutical Supply Co. | Pharmacy | 177 Oak Park Blvd, Suite 110, Lake Charles, LA 70601 | 2006-12-26 |
| 1508936501 | The Drug Store, LLC | Pharmacy | 857 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5504 | 2006-11-08 |
| 1316037054 | Prescription Specialties,llc | Pharmacy | 4070 Nelson Rd, Ste 200, Lake Charles, LA 70605-2444 | 2006-10-13 |
| 1588679732 | Walgreen Co | Pharmacy | 2000 Gertsner Memorial Dr, Lake Charles, LA 70601-8060 | 2006-07-29 |
| 1972122349 | Harrp Group | Pharmacy | 114 Gloria Dr, Lake Charles, LA 70611 | 2020-04-15 |
| 1205235744 | Cvs/caremark | Pharmacy | 366 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5602 | 2014-08-21 |
| 1750792248 | Genoa Healthcare, LLC | Pharmacy | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-05-19 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on LAKESHORE MEDIC 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.