NPIMap

Organization Active NPI

Lakeview Community Pharmacy

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Stillwater, MN
National Provider Identifier
1487069209
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
262751 Issued in MN
Legal business name
LAKEVIEW COMMUNITY PHARMACY
Practice address
1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone
(651) 430-4670
Fax
(651) 430-4671
NPI assigned
Jul 1, 2014
Organization subpart
Yes
Parent organization
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Marcia Ann McGowan, RPH
Title
Pharmacist Supervisor
Phone
(651) 430-4670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X 262751 MN Primary

Addresses

Primary practice location

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040

Mailing address

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (651) 430-4670

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Community Pharmacy8 organizations share this tax ID, including this one
Part of
Lakeview Community Pharmacy

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1487069209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826040",
            "telephone_number": "651-430-4670",
            "fax_number": "651-430-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826040",
            "telephone_number": "651-430-4670",
            "fax_number": "651-430-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW COMMUNITY PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST SUPERVISOR",
        "authorized_official_telephone_number": "651-430-4670",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "262751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.