Lakeview Pharmacy of Racine Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

7186-42 Issued in WI

Legal business name

LAKEVIEW PHARMACY OF RACINE INC

Doing business as

Lakeview LTC Pharmacy

Practice address

517 Wisconsin Ave
Racine, WI 53403-1050

Phone

(262) 632-8215

Fax

(262) 632-6777

NPI assigned

Jun 8, 2005

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pete Ciaramita, RPHNPI 1114060365

Title

Owner

Phone

(262) 632-8215

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LAKEVIEW LTC PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pete Ciaramita, RPH

  • Pharmacist
  • Racine, WI
  • NPI 1114060365
  NPD Authorized official

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1063416097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031050",
            "telephone_number": "262-632-8215",
            "fax_number": "262-632-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031050",
            "telephone_number": "262-632-8215",
            "fax_number": "262-632-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW PHARMACY OF RACINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "CIARAMITA",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-632-8215",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "7186-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032237",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEVIEW LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lakeview Pharmacy in Racine SC (Lakeview LTC Pharmacy)
• Lakeview Pharmacy of Racine Inc
• Jacqueline Lamberton, P.T.
• Robert J Lamberton, DDS
• Tyler M Lang, DPT
• Marlena Larson, PSY.D.

• Long Term Care Pharmacy in Racine, WI
• Providers in Racine, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.