West Lake Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00730200 Issued in NJ

Legal business name

WEST LAKE PHARMACY INC

Practice address

1828 W Lake Ave
Neptune, NJ 07753-4663

Phone

(732) 455-5885

Fax

(732) 455-5882

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Kamlesh Patel, RPHNPI 1891905394

Title

Owner, President

Phone

(732) 841-5085

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• West Lake Pharmacy Inc Doing business as

Locations

Practitioners 1

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

• Kamlesh Vitthal Patel, RPH

  • Pharmacist
  • Oakhurst, NJ
  • NPI 1891905394
  NPD Authorized official

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1598037863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 W LAKE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534663",
            "telephone_number": "732-455-5885",
            "fax_number": "732-455-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W LAKE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534663",
            "telephone_number": "732-455-5885",
            "fax_number": "732-455-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAKE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "732-841-5085",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00730200",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417696",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Lake Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Herbert Weinstein, MD
• Maurice D Weiss, M.D.
• Evelyn R Wells, M.D.
• Hannah Werner, APN
• Lucas Edward Werner, MD
• Shakia West
• Elizabeth Whalen, BSW
• Craig Michael Whitehead, PT
• Shannon Whitledge, LSW, CHHT
• Amy Lynn Whitlock, CRNA

• Community/Retail Pharmacy in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.