Lakevick LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OS007466L Issued in PA

Legal business name

LAKEVICK LLC

Doing business as

Vickery Vaccine Services

Practice address

1980 S Easton Rd
Doylestown, PA 18901-7103

Phone

(267) 640-6733

Fax

(267) 483-8795

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Mr. James H Vickery, R. PH.NPI 1194856880

Title

Owner/Pharmacist

Phone

(215) 348-9711

Specialties & licenses 4

Addresses

Other names 1

• Vickery Vaccine Services 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.

• James Hunter Vickery, R.PH

  • Pharmacist
  • Chalfont, PA
  • NPI 1194856880
  NPD Authorized official

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1730611419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KULP RD E",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143729",
            "telephone_number": "267-640-6733",
            "fax_number": "267-483-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 S EASTON RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189017103",
            "telephone_number": "267-640-6733",
            "fax_number": "267-483-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Kulp Rd E",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143729",
            "country_code": "US",
            "telephone_number": "267-477-1010",
            "fax_number": "215-491-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKEVICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "215-348-9711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI000001",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "OS007466L",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "OS007466L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vickery Vaccine Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vickery Vaccine Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Gerard Lacey
• Maryalice Lachman, PT
• Isabella Lackey
• Kejin Lai
• Jennifer Laincz, BSN, RN, IBCLC
• Andrew John Lambour, MD
• Lori Lamont, M.A., LPC, ATR-BC
• Michael J Land, D.M.D.
• Jeffrey Thomas Laphen, M.D.
• Kayla Marie Lapp, NP

• Clinic/Center in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.