The Lakes on 41 LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

THE LAKES ON 41 LLC

Practice address

103 Flagship Dr
Lutz, FL 33549-5409

Phone

(813) 776-1277

Fax

(813) 776-1551

NPI assigned

Feb 28, 2025

Organization subpart

No

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

Authorized official

Name

Sandra Ghobrial

Title

Pharmacy Manager

Phone

(714) 234-6610

Specialties & licenses 1

Addresses

Other names 1

• The lakes pharmacy Doing business as

Tax ID family

The Lakes on 41 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Lakes on 41 LLC

  • Long Term Care Pharmacy
  • Lutz, FL
  • NPI 1295532026
  NPD tax ID
• The Lakes on 41 LLC

  • Community/Retail Pharmacy
  • Lutz, FL
  • NPI 1760202394
  NPD tax ID

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1013714849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FLAGSHIP DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495409",
            "telephone_number": "813-776-1277",
            "fax_number": "813-776-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FLAGSHIP DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495409",
            "telephone_number": "813-776-1277",
            "fax_number": "813-776-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKES ON 41 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "GHOBRIAL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "714-234-6610"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The lakes pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• The Eye Care Professionals of Tampa Bay
• The Lakes on 41 LLC
• The Lakes on 41 LLC
• Therakids Plus, Inc.
• Ahnyiah Thomas, RBT
• Brian W Thomas, DMD, MS

• Compounding Pharmacy in Lutz, FL
• Providers in Lutz, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.