Active NPI
Lakeland Family Pharmacy
- Community/Retail Pharmacy
- Lakeland, FL
National Provider Identifier
1326447988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH27609
- Legal business name
- LAKELAND FAMILY PHARMACY
- Doing business as
- Lakeland Family Pharmacy
- Practice address
- 605 W Memorial Blvd
Lakeland, FL 33815-1466 - Phone
- (863) 698-7260
- NPI assigned
- Aug 20, 2014
- Last updated
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Clay
- Title
- Owner/Manager
- Phone
- (863) 698-7260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH27609 | FL | Primary |
Addresses
Primary practice location
605 W Memorial Blvd
Lakeland, FL 33815-1466
Mailing address
605 W. Memorial Blvd
Lakeland, FL 32815
Phone (863) 698-7260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147296 | Other | PK |
Other names 1
- Lakeland Family Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Lakeland Family Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1467827840
-
- Community/Retail Pharmacy
- Lakeland, FL
- NPI 1568848026
Locations
605 W Memorial Blvd
Lakeland, FL 33815
Phone (863) 698-7260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1326447988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W. MEMORIAL BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "32815",
"telephone_number": "863-698-7260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W MEMORIAL BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338151466",
"telephone_number": "863-698-7260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKELAND FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "863-698-7260"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH27609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2147296",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeland Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lakeland, FL
- Lakeland Discount Pharmacy
- Lakeland Eye Clinic PA (Lakeland Eye Clinic)
- Lakeland Facility Operations LLC (Consulate Health Care of Lakeland)
- Lakeland Family Medicine
- Lakeland Family Medicine
- Lakeland Family Pharmacy
- Lakeland Family Podiatry
- Lakeland FL Endoscopy ASC LLC (Surgery Center of Lakeland Hills Boulevard)
- Lakeland Foot & Ankle Center PA
- Lakeland Health Care Associates LLC (Wedgewood Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.