NPIMap

Organization Active NPI

Lake Hospital System, Inc. Dba Lake Health

  • Community/Retail Pharmacy
  • Concord Township, OH
National Provider Identifier
1366844284
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02445650 03 Issued in OH
Legal business name
LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH
Practice address
7580 Auburn Rd
Concord Township, OH 44077-9615
Phone
(440) 602-6320
NPI assigned
Sep 23, 2014
Organization subpart
Yes
Parent organization
LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Michael Kittoe
Title
Chief Financial Officer
Phone
(440) 354-1051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02445650 03 OH Primary

Addresses

Primary practice location

7580 Auburn Rd
Concord Township, OH 44077-9615

Mailing address

7580 Auburn Rd
Concord Township, OH 44077-9615
Phone (440) 602-6320

Other names 1

  • Lake Health Pharmacy - TriPoint Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Medical Center37 organizations share this tax ID, including this one
Part of
Lake Medical Center

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

7580 Auburn Rd
Concord Township, OH 44077
Phone (440) 269-8020

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1366844284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-602-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-602-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "KITTOE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "440-354-1051"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02445650 03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Health Pharmacy - TriPoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.