Lake One Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH21804 Issued in FL

Legal business name

LAKE ONE COMMUNITY PHARMACY INC

Practice address

4849 Lake Worth Rd
Greenacres, FL 33463-3461

Phone

(561) 433-3330

Fax

(561) 296-7310

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Marie Laguerre

Title

Phcy MGR

Phone

(561) 433-3330

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LAKE ONE COMMUNITY PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1679599526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633461",
            "telephone_number": "561-433-3330",
            "fax_number": "561-296-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633461",
            "telephone_number": "561-433-3330",
            "fax_number": "561-296-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ONE COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "LAGUERRE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PHCY MGR",
        "authorized_official_telephone_number": "561-433-3330"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE ONE COMMUNITY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lake Worth Dentistry
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• Community/Retail Pharmacy in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.