NPIMap

Organization Active NPI

Lakin Drug, LLC

Doing business as Lakin Drug LTC

  • Long Term Care Pharmacy
  • Lakin, KS
National Provider Identifier
1760267157
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LAKIN DRUG, LLC
Doing business as
Lakin Drug LTC
Practice address
610 O'Loughlin St
Lakin, KS 67860
Phone
(620) 355-8101
Fax
(620) 355-8105
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Tyson MullenNPI 1205227410
Title
Owner/Pharmd
Phone
(620) 356-1446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

610 O'Loughlin St
Lakin, KS 67860

Mailing address

PO Box 1084
Lakin, KS 67860-1084
Phone (620) 356-1446

Other names 1

  • Lakin Drug LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakin Drug LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1760267157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678601084",
            "telephone_number": "620-356-1446",
            "fax_number": "620-356-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 O'LOUGHLIN ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "67860",
            "telephone_number": "620-355-8101",
            "fax_number": "620-355-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKIN DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER/PHARMD",
        "authorized_official_telephone_number": "620-356-1446"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakin Drug LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakin, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.