Organization Active NPI

LK Pharmacy Inc

  • Community/Retail Pharmacy
  • Youngstown, OH
National Provider Identifier
1407960487
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LK PHARMACY INC
Practice address
819 McCartney Rd
Youngstown, OH 44505-5047
Phone
(330) 744-3337
Fax
(330) 744-5588
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Donald FowlerNPI 1235859406
Title
Owner
Phone
(330) 744-3337

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 021434500 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

819 McCartney Rd
Youngstown, OH 44505-5047

Mailing address

819 McCartney Rd
Youngstown, OH 44505-5047
Phone (330) 744-3337

Other identifiers 2

IdentifierTypeStateIssuer
2456640MedicaidOH
3670735OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • LINCOLN KNOLLS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

819 McCartney Rd
Youngstown, OH 44505
Phone (330) 743-1738

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1407960487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MCCARTNEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445055047",
            "telephone_number": "330-744-3337",
            "fax_number": "330-744-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MCCARTNEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445055047",
            "telephone_number": "330-744-3337",
            "fax_number": "330-744-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-744-3337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "021434500",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456640",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3670735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN KNOLLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LINCOLN KNOLLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.