Organization Active NPI

Lildarlin Investments Inc

Doing business as lakeview pharmacy

  • Community/Retail Pharmacy
  • Sebring, FL
National Provider Identifier
1295012466
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25646 Issued in FL
Legal business name
LILDARLIN INVESTMENTS INC
Doing business as
lakeview pharmacy
Practice address
1542 Lakeview Dr Ste 1
Sebring, FL 33870-7957
Phone
(863) 385-2200
Fax
(863) 385-2225
NPI assigned
Nov 15, 2011
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Emmanuel Wiafe
Title
President
Phone
(863) 458-2222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH25646 FL Primary

Addresses

Primary practice location

1542 Lakeview Dr Ste 1
Sebring, FL 33870-7957

Mailing address

4640 Nadena Dr
Sebring, FL 33872-1779
Phone (863) 458-2222

Other identifiers 1

IdentifierTypeStateIssuer
2132752OtherPK

Other names 1

  • lakeview pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1542 Lakeview Dr
Ste 1
Sebring, FL 33870
Phone (863) 385-2200

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1295012466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 NADENA DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721779",
            "telephone_number": "863-458-2222",
            "fax_number": "863-658-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 LAKEVIEW DR STE 1",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707957",
            "telephone_number": "863-385-2200",
            "fax_number": "863-385-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILDARLIN INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "WIAFE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-458-2222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lakeview pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.