Lake Express Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAKE EXPRESS PHARMACY INC

Practice address

25 Dr MLK Blvd E Ste B
Belle Glade, FL 33430-4044

Phone

(561) 523-4161

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Muhammad Ilyas

Title

Owner

Phone

(561) 523-4161

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Samira Ahmad, PHARM.D.

  • Pharmacist
  • Belle Glade, FL
  • NPI 1326646969
  NPD

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1295351203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 GREBE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334639314",
            "telephone_number": "561-523-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DR MLK BLVD E STE B",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304044",
            "telephone_number": "561-523-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE EXPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-523-4161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidz World Therapy Services LLC
• Kidz World Therapy Services LLC
• Erica Knight
• Stan K Kotei, RPH
• Hina Anjom Laeeq, PA
• Lake Medical Center PLLC
• Lake Pharmacy Inc
• Lakeshore Anesthesia, Inc.
• Lakeside Medical Center
• Mallory Lazell, DPT

• Community/Retail Pharmacy in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.