Lakepointe Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

26193 Issued in TX

Legal business name

LAKEPOINTE PHARMACY INC

Doing business as

Lakepointe Pharmacy #1

Practice address

1005 W Ralph Hall Pkwy
Ste 147
Rockwall, TX 75032-6658

Phone

(972) 722-4339

Fax

(888) 737-4524

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Raymond Amaechi

Title

Owner

Phone

(214) 476-6323

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Lakepointe Pharmacy #1 Doing business as

Locations

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1477704096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152801",
            "telephone_number": "972-722-4339",
            "fax_number": "888-737-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY",
            "address_2": "STE 147",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326658",
            "telephone_number": "972-722-4339",
            "fax_number": "888-737-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEPOINTE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "AMAECHI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-476-6323"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "26193",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117246",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145951",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakepointe Pharmacy #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Laigo
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• Lake Ray Hubbard Counseling, PLLC.
• Lakepoint Compassion Home Care (Home Care Assistance)
• Lakepointe Pharmacy Inc
• Lakepointe SCC LLC (Senior Care at Lake Pointe)
• Lakeshore Dental PLLC
• Lakeside Allergy ENT LLP
• Lakeside Dental Sleep Associates LLC

• Compounding Pharmacy in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.