Lakeview Pharmacy in Racine SC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAKEVIEW PHARMACY IN RACINE SC

Practice address

516 Monument SQ
Racine, WI 53403-1033

Phone

(262) 632-0520

Fax

(262) 632-6777

NPI assigned

Oct 6, 2021

Organization subpart

Yes

Parent organization

LAKEVIEW PHARMACY IN RACINE SCAs reported in NPPES

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

Authorized official

Name

Megan Renee Haapanen, PHARM DNPI 1497191274

Title

Pharmacy Owner

Phone

(262) 632-0520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Part of

Lakeview Pharmacy in Racine

Locations

Practitioners 1

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

• Megan Renee Haapanen, PHARMD

  • Pharmacist
  • Racine, WI
  • NPI 1497191274
  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1346902558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MONUMENT SQ",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031033",
            "telephone_number": "262-632-0520",
            "fax_number": "262-632-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MONUMENT SQ",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031033",
            "telephone_number": "262-632-0520",
            "fax_number": "262-632-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW PHARMACY IN RACINE SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEVIEW PHARMACY IN RACINE SC",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "HAAPANEN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "262-632-0520",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189504",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeview Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Racine, WI
• Providers in Racine, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.