LIVONIA LAKEVILLE PHARMACY INC (NPI# 1689736746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689736746 |
| Entity Type | Organization |
| Organization Name | LIVONIA LAKEVILLE PHARMACY INC |
| Other Organization Name | LIVONIA PHARMACY |
| Practice Address |
5975 Big Tree Rd Lakeville NY 14480-0414 |
| Mailing Address |
Po Box 414 Lakeville NY 14480-0414 |
| Practice Telephone | 5853465615 |
| Practice Fax Number | 5853462212 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-06-20 |
| Authorized Official Name | JENNIFER BURKE (VICE PRESIDENT) |
| Authorized Official Telephone | 5853465615 |
| 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 |
024333 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2064266 | 01 | |
| NY | 1944178 | 05 |
| Other Name | Type Code |
|---|---|
| LIVONIA PHARMACY | Doing Business As Name - Organization |
| Street Address |
5975 BIG TREE RD |
| City | LAKEVILLE |
| State | NY |
| Zip Code | 14480-0414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518917616 | Christine Ellen Lazarony | Pharmacist | 5975 Big Tree Rd, Livonia Lakeville Pharmacy, Lakeville, NY 14480-9722 | 2006-05-11 |
| 1407995491 | John Anthony Siciliano | Pharmacist | 5975 Big Tree Rd, Lakeville, NY 43213 | 2007-02-06 |
| 1356445662 | Lisa N. Mckay | Pharmacist | 5975 Big Tree Rd, Lakeville, NY 14480 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031664 | Brenda Flores Sousa | Dentist | 6003 Big Tree Rd., Lakeville, NY 14480 | 2015-04-23 |
| 1295810802 | Nancy J Mulvaney | Pharmacist | 5975 Big Tree Rd., Lakeville, NY 14480 | 2006-10-25 |
| 1013979772 | Robin Crist | Physical Therapist | 3506 Thomas Dr., Lakeville, NY 14480 | 2006-04-06 |
| 1063488948 | Andrew V Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1386094076 | State of New York Comptrollers Office | Clinic/Center | 3505 Thomas Dr, Livonia, NY 14480 | 2016-06-14 |
| 1871556795 | Aaron Charles Borden | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-04-11 |
| 1740256627 | Dawn M Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1114977741 | John Alker | Anesthesiology | 3518 Pebble Beach Rd, Lakeville, NY 14480-9708 | 2006-05-12 |
| 1710992151 | Richard S Aguirre | Internal Medicine | 5989 Big Tree Rd, Suite A, Lakeville, NY 14480-9719 | 2006-07-31 |
| 1639367725 | Fitzgerald Anthony Hudson | Emergency Medicine | 5989 Big Tree Rd, Lakeville, NY 14480-9719 | 2007-10-15 |
| Find all providers in zip 14480 | ||||
| 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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|---|---|---|---|---|
| 1487748760 | Grand St Paul Cvs Phcy LLC | Pharmacy | 17578 Dood Blvd, Lakeville, MN 55044 | 2006-10-03 |
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| 1851746986 | Hy Vee Inc | Pharmacy | 16150 Pilot Knob Rd, Lakeville, MN 55044-4105 | 2016-04-26 |
| 1306057179 | Walgreen Co | Pharmacy | 32 Main St, Lakeville, MA 02347-1607 | 2007-05-24 |
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| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 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.