LAKE REGIONAL MEDICAL MANAGEMENT, INC (NPI# 1891802443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891802443 |
| Entity Type | Organization |
| Organization Name | LAKE REGIONAL MEDICAL MANAGEMENT, INC |
| Practice Address |
1870-c Bagnell Dam Blvd Lake Ozark MO 65049 |
| Mailing Address |
Po Box 1560 Osage Beach MO 65065-1560 |
| Practice Telephone | 5739646200 |
| Practice Fax Number | 5739646452 |
| Mailing Telephone | 5739646200 |
| Mailing Fax Number | 5739646452 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | STACIE LING (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 5733023185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MO | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 006377 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 609737200 | 05 | |
| PK | 2047718 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750453296 | Lake Regional Medical Management, Inc | Pharmacy | 156 -d Missouri Blvd, Laurie, MO 65038 | 2006-11-13 |
| 1134233109 | Lake Regional Medical Management, Inc | Pharmacy | 1057b Medical Park Dr, Osage Beach, MO 65065-3000 | 2006-08-18 |
| 1578125324 | Lake Regional Medical Management, Inc | Durable Medical Equipment & Medical Supplies | 441 W Elm St, Lebanon, MO 65536-3523 | 2019-07-02 |
| Street Address |
1870-C BAGNELL DAM BLVD |
| City | LAKE OZARK |
| State | MO |
| Zip Code | 65049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679099725 | Embark By Calo | Counselor | 110 Crossing Drive Suite 1, Lake Ozark, MO 65049 | 2017-08-21 |
| 1184006843 | Whitney Lodge | Pharmacist | 1870-c Bagnell Blvd, Lake Ozark, MO 65049 | 2015-06-18 |
| 1083907869 | Darin Thomas Puppel | Massage Therapist | 121 Crossings W, Ste F, Lake Ozark, MO 65049 | 2011-05-26 |
| 1407011851 | The Lime In The Coconut Specialty Compounding Pharmacy, LLC | Pharmacy | 121 Crossings West, # F, Lake Ozark, MO 65049 | 2008-07-25 |
| 1821270620 | Barnes Medical Clinic PC | Clinic/Center | 121 Crossings West Drive, #5, Lake Ozark, MO 65049 | 2007-12-04 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1891825592 | Karen L. Jenkins | Speech-Language Pathologist | 1571 Bagnell Dam Blvd., Box 1960, Lake Ozark, MO 65049 | 2007-03-06 |
| 1689741035 | Morrow Chiropractic Clinic PC | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2006-11-29 |
| 1033659545 | Marshal Morrow | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2017-03-02 |
| 1780742221 | Harold Dean Morrow | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2006-12-05 |
| Find all providers in zip 65049 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
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|---|---|---|---|---|
| 1912506437 | E Health Pharmacy, LLC | Pharmacy | 411d Northview Rd, Nixa, MO 65714-8679 | 2020-10-26 |
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1821600545 | Debbie S Pharmacy LLC | Pharmacy | 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 | 2020-08-24 |
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1427606912 | Medley Pharmacy Inc | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-08-28 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OZARK |
| Zip Code | 65049 |
Please comment or provide details below to improve the information on LAKE REGIONAL MEDICAL MANAGEMENT, INC.
| 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.