Organization Active NPI

Lakeview Center Inc

  • Community/Retail Pharmacy
  • Pensacola, FL
National Provider Identifier
1265499453
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH6084 Issued in FL
Legal business name
LAKEVIEW CENTER INC
Doing business as
Lakeview Center, Inc.
Practice address
1201 W Hernandez St
Pensacola, FL 32501-1815
Phone
(850) 469-3719
Fax
(850) 595-1412
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Jeffery Fletcher, PHARM.D.
Title
Pharmacy Director
Phone
(850) 469-3719

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH6084 FL Primary

Addresses

Primary practice location

1201 W Hernandez St
Pensacola, FL 32501-1815

Mailing address

1201 W Hernandez St
Pensacola, FL 32501-1815
Phone (850) 469-3719

Other identifiers 2

IdentifierTypeStateIssuer
031722500MedicaidFL
2010017OtherPK

Other names 1

  • Lakeview Center, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Center Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1265499453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W HERNANDEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011815",
            "telephone_number": "850-469-3719",
            "fax_number": "850-595-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W HERNANDEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011815",
            "telephone_number": "850-469-3719",
            "fax_number": "850-595-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "850-469-3719",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH6084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031722500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2010017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.