Lakeland Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE003271 Issued in GA

Legal business name

LAKELAND DRUG CO

Doing business as

Lakeland Drug Company

Practice address

42 W Main St
Lakeland, GA 31635-6835

Phone

(229) 482-3677

Fax

(229) 482-2072

NPI assigned

Jun 27, 2006

Last updated

Nov 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivey McCurdyNPI 1417988726

Title

President

Phone

(229) 482-3677

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lakeland Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Ivey Brogdon McCurdy, PHARM D

  • Pharmacist
  • Lakeland, GA
  • NPI 1417988726
  NPD (past) Authorized official
• Jessica Nicole Keeffe, PHARMD

  • Pharmacist
  • Lakeland, GA
  • NPI 1790372290
  NPD (past)
• Eva Marie Pike, PHARMD

  • Pharmacist
  • Lakeland, GA
  • NPI 1295459196
  NPD (past)
• Kinsey Spivey, PHARMD

  • Pharmacist
  • Lakeland, GA
  • NPI 1093262735
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1811924756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W MAIN ST",
            "city": "LAKELAND",
            "state": "GA",
            "postal_code": "316356835",
            "telephone_number": "229-482-3677",
            "fax_number": "229-482-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W MAIN ST",
            "city": "LAKELAND",
            "state": "GA",
            "postal_code": "316356835",
            "telephone_number": "229-482-3677",
            "fax_number": "229-482-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "MCCURDY",
        "authorized_official_first_name": "IVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-482-3677"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136987",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030456B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Drug Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeland Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hospital Authority of Valdosta and Lowndes County, Georgia (SGMC Lanier Campus)
• Kirsten Danielle Howell, DMD
• Ida Mae Hublein
• Leigh Arlene Johnson, LMT, NMT
• Jessica Nicole Keeffe, PHARMD
• Lakeland Drug Co
• Lakeland Family Dentistry
• Lanier County Ambulance Service
• Lanier County Board SBS
• Lanier Health Services, Inc (Lakeland Villa & Convalescent Center)

• Community/Retail Pharmacy in Lakeland, GA
• Providers in Lakeland, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.