Labotts Lakeview Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

8305042 Issued in WI

Legal business name

LABOTTS LAKEVIEW PHARMACY INC

Doing business as

Labotts Pharmacy

Practice address

10424 W Bluemound Rd
Wauwatosa, WI 53226-4331

Phone

(414) 257-0077

Fax

(414) 258-9737

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Harold Labott, R.PH.

Title

President

Phone

(414) 257-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Labotts Pharmacy Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760523500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 W BLUEMOUND RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264331",
            "telephone_number": "414-257-0077",
            "fax_number": "414-258-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10424 W BLUEMOUND RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264331",
            "telephone_number": "414-257-0077",
            "fax_number": "414-258-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABOTTS LAKEVIEW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LABOTT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-257-0077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "8305042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33137700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Labotts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Kushnir, MD
• Karole Marie Kuslak, DO
• Jennifer La Plante, PT
• Robyn Kathleen Labarge
• Linda A Laborde, P.T.
• Marilyn Gutierrez Lacap, REGISTERED NURSE
• Fred A Lacourt, DDS
• Zachariah Robert Ladd, APNP
• Franklin Joseph Ladien, R.PH.
• Wesley M Ladwig

• Durable Medical Equipment & Medical Supplies in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.