Organization Active NPI

Summit Pharmacy Solutions, LLC

  • Pharmacy
  • South Lake Tahoe, CA
National Provider Identifier
1104611144
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SUMMIT PHARMACY SOLUTIONS, LLC
Practice address
2074 Lake Tahoe Blvd Ste 1
South Lake Tahoe, CA 96150-6408
Phone
(530) 541-0870
Fax
(530) 541-0884
NPI assigned
Apr 10, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Kathleen McMillen-Mitchell
Title
Ceo - KM Health Solutions, Inc.
Phone
(530) 541-0870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

2074 Lake Tahoe Blvd Ste 1
South Lake Tahoe, CA 96150-6408

Mailing address

2074 Lake Tahoe Blvd Ste 1
South Lake Tahoe, CA 96150-6408
Phone (530) 541-0870

National Provider Directory

National Provider Directory

Locations

2074 Lake Tahoe Blvd
Ste 1
South Lake Tahoe, CA 96150
Phone (530) 541-0870

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1104611144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506408",
            "telephone_number": "530-541-0870",
            "fax_number": "530-541-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506408",
            "telephone_number": "530-541-0870",
            "fax_number": "530-541-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHARMACY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "MCMILLEN-MITCHELL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO - KM HEALTH SOLUTIONS, INC.",
        "authorized_official_telephone_number": "530-541-0870"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.