Lakeview Pharmacy in Racine SC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LAKEVIEW PHARMACY IN RACINE SC

Doing business as

Lakeview LTC Pharmacy

Practice address

517 Wisconsin Ave
Racine, WI 53403-1050

Phone

(262) 632-8215

Fax

(262) 632-6777

NPI assigned

Sep 22, 2021

Last updated

Jan 25, 2022By the provider in NPPES

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

Mrs. Megan Renee Haapanen, PHARMDNPI 1497191274

Title

Pharmacy Owner

Phone

(262) 632-8215

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lakeview LTC Pharmacy Doing business as

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, and the practitioner matching its NPPES authorized official.

• 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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1477224244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031050",
            "telephone_number": "262-632-8215",
            "fax_number": "262-632-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031050",
            "telephone_number": "262-632-8215",
            "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": "2021-09-22",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "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": "262-632-8215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189877",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeview LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Racine, WI
• Providers in Racine, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.