Lakes Area Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

261106 Issued in MN

Legal business name

LAKES AREA PHARMACY

Practice address

417 Barclay Ave
Pine River, MN 56474-5139

Phone

(218) 587-3222

Fax

(218) 587-3338

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Parry, RPH

Title

President

Phone

(218) 587-3222

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1013066463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564740488",
            "telephone_number": "218-587-3222",
            "fax_number": "218-587-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BARCLAY AVE",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564745139",
            "telephone_number": "218-587-3222",
            "fax_number": "218-587-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-587-3222",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "261106",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "261106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2421268",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Held & Sauer PLLC
• Jacob John Dale Held, DDS
• Sarah Hendrickson, LPCC
• Owen W. Johnson, DDS
• Jaelyn Elizabeth Kappes, PHARMD
• Michael S Marvin, O.D.
• Northwoods Dna, Inc.
• Taylor Anne Ott, PHARMD
• Pine River Dental Arts, P.C.
• Pine River Dental Center LLC

• Pharmacy in Pine River, MN
• Providers in Pine River, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.