Lakeway Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4433 Issued in TN

Legal business name

LAKEWAY PHARMACY

Doing business as

Lakeway Pharmacy

Practice address

460 Medical Park Dr
Ste 101
Lenoir City, TN 37772-5782

Phone

(865) 988-9858

Fax

(865) 988-9859

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Keith Alleman, PHRMD

Title

Mang

Phone

(865) 406-4942

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKEWAY PHARMACY Doing business as

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1376731547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "STE 101",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-988-9858",
            "fax_number": "865-988-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "STE 101",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-988-9858",
            "fax_number": "865-988-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "ALLEMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANG",
        "authorized_official_telephone_number": "865-406-4942",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4440690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Margaret Krempasky
• Kami Alyse Krinsavage, CCMA
• Christopher Michael Kulisek, M.D.
• Daniel Dean Kyle, PHARMD
• Miriam Lagunas, BSSW
• Nicole Rebecca Lamb, OD
• Jessica L Lambert, OTR/L
• Pamela Lamphear
• Jill Langer, FNP
• Elizabeth Langley, M.D.

• Community/Retail Pharmacy in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.