Lakeshore Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

112213 Issued in AL

Legal business name

LAKESHORE PHARMACY, INC.

Practice address

1 W Lakeshore Dr
Suite 102
Birmingham, AL 35209-0500

Phone

(205) 945-8081

Fax

(205) 945-8508

NPI assigned

Feb 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Ernest Bryant III

Title

President

Phone

(205) 945-8081

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Scherry Sloan Bryant, PHARMD

  • Pharmacist
  • Birmingham, AL
  • NPI 1124619457
  NPD (past)
• Whitney Lichtner, PHARMD

  • Pharmacist
  • Birmingham, AL
  • NPI 1700477031
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750425211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352090500",
            "telephone_number": "205-945-8081",
            "fax_number": "205-945-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352090500",
            "telephone_number": "205-945-8081",
            "fax_number": "205-945-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-945-8081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0125674",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Lahti
• Tina N Lai, ATC
• Merissa Laite
• Lawrence Leland Lake, CRNP
• Lakeshore Dental LLC
• Lakeshore Sleep Disorder Center, LLC
• Arisha Saleem Lakhani
• Sangeeta Lakhanpal, D.M.D.
• Shailendra Lakhanpal, M.D.
• Charitharth Vivek Lal, MD

• Community/Retail Pharmacy in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.