Active NPI
Neeley, Inc
Doing business as North Lake Medical Pharmacy LTC
- Long Term Care Pharmacy
- Lakeport, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- NEELEY, INC
- Doing business as
- North Lake Medical Pharmacy LTC
- Practice address
- 5136 Hill Rd E
Lakeport, CA 95453-6300 - Phone
- (707) 263-6192
- NPI assigned
- Apr 30, 2024
- 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
- Kyla Neeley
- Title
- Owner
- Phone
- (707) 263-6192
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
5136 Hill Rd E
Lakeport, CA 95453-6300
Mailing address
5136 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 263-6192
Other names 1
- North Lake Medical Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Neeley Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Lakeport, CA
- NPI 1710258439
-
- Pharmacist
- Lakeport, CA
- NPI 1942579578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1407603236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5136 HILL RD E",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536300",
"telephone_number": "707-263-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5136 HILL RD E",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536300",
"telephone_number": "707-263-6192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEELEY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "NEELEY",
"authorized_official_first_name": "KYLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-263-6192"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Lake Medical Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.