Lake Placid Drug Co.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH659 Issued in FL

Legal business name

LAKE PLACID DRUG CO.

Practice address

224 E Interlake Blvd
Lake Placid, FL 33852-9603

Phone

(863) 465-2751

Fax

(863) 465-3977

NPI assigned

Jul 16, 2005

Organization subpart

No

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

Authorized official

Name

Charles D. Stidham, RPH

Title

Owner/Pharmacist

Phone

(863) 465-2291

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lawrence Dean Stidham, RPH

  • Pharmacist
  • Lake Placid, FL
  • NPI 1740495779
  NPD (past)

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

{
    "created_epoch": "1121472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790784346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529603",
            "fax_number": "863-465-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529603",
            "telephone_number": "863-465-2751",
            "fax_number": "863-465-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLACID DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STIDHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "863-465-2291",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K & M Lake Placid Inc
• K & M Lake Placid Inc
• Kairos Senior Concierge Service LLC
• Sadie Kortright
• L-N-S in Home Care LLC
• Lake Placid Emergency Physicians
• Lake Placid Nursing SNF LLC
• Lake Placid Operations LLC
• Lake Placid Pharmacy Inc
• Lake Placid Rehabilitation Inc

• Pharmacist in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Pharmacist in Florida

• 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.