Lakes Area Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2605377 Issued in MN

Legal business name

LAKES AREA PHARMACY

Practice address

30503 State Hwy 371
Pequot Lakes, MN 56472-2913

Phone

(218) 568-5884

Fax

(218) 568-8473

NPI assigned

Jan 10, 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

Owner

Phone

(218) 568-5884

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• LAKES AREA PHARMACY INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren Lee Golden, RPH

  • Pharmacist
  • Pequot Lakes, MN
  • NPI 1366787590
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1275682007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564720187",
            "telephone_number": "218-568-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30503 STATE HWY 371",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564722913",
            "telephone_number": "218-568-5884",
            "fax_number": "218-568-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-568-5884",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "2605377",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854360700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKES AREA PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindy Sue Howard
• Nadine Indihar, DC
• Inmotion Physical Therapy LLC
• John Kloster
• Joyce E. Neuman & Dean S. Brandt PTRS.
• Lakes Dental Care PLC
• Lelwica Chiropractic
• Michelle Rae Lelwica, D.C.
• Loy Pfeiffer Inc
• Mark T. Sherman DDS PA

• Community/Retail Pharmacy in Pequot Lakes, MN
• Providers in Pequot Lakes, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.