Lucerne Pharmacy1St LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46594 Issued in CA

Legal business name

LUCERNE PHARMACY1ST LLC

Doing business as

Lucerne Pharmacy

Practice address

6244 E Highway 20
Lucerne, CA 95458-1316

Phone

(707) 274-6643

Fax

(707) 274-2469

NPI assigned

Nov 20, 2006

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hee Ryoung Choi

Title

Pharmacy Ops

Phone

(914) 650-4124

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LUCERNE PHARMACY Doing business as

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.

• Gaylan Ruth Shepherd

  • Pharmacist
  • Lucerne, CA
  • NPI 1154226389
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1316011794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "954581316",
            "telephone_number": "707-274-6643",
            "fax_number": "707-274-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 E HIGHWAY 20",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "954581316",
            "telephone_number": "707-274-6643",
            "fax_number": "707-274-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCERNE PHARMACY1ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HEE RYOUNG",
        "authorized_official_title_or_position": "PHARMACY OPS",
        "authorized_official_telephone_number": "914-650-4124"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCERNE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lonni Nicole Laven
• Lesley Robyn Lewis, R.N.
• Melanie Yvonne Lim, CPSS
• Lucerne Community Clinic
• Lucerne Fire Department
• Karen Macall
• Priest Martinez
• Dennis Mason
• Christine P McKillop
• Anthony Gale Miszklevitz, D.C.

• Community/Retail Pharmacy in Lucerne, CA
• Providers in Lucerne, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.