West Lake Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25247 Issued in FL

Legal business name

WEST LAKE PHARMACY INC

Doing business as

West Lake Pharmacy

Practice address

2544 Simpson Rd
Kissimmee, FL 34744-4637

Phone

(407) 344-4555

Fax

(407) 344-4566

NPI assigned

Mar 18, 2011

Last updated

Aug 20, 2015By 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

Napoleon Onyechi

Title

Manager

Phone

(407) 344-4555

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WEST LAKE PHARMACY Doing business as

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1841599644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444637",
            "telephone_number": "407-344-4555",
            "fax_number": "407-344-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444637",
            "telephone_number": "407-344-4555",
            "fax_number": "407-344-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAKE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "ONYECHI",
        "authorized_official_first_name": "NAPOLEON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-344-4555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003526500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST LAKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Douglas Werking
• Ayres M Wesby, LPN
• Lexus A Wesley
• West Donegan Ave Alf Opco LLC (Aviata at Kissimmee Gardens Villas)
• West Donegan Ave SNF Opco LLC (Aviata at Kissimmee Gardens)
• Amy G West, RN
• Arnessa Williams Weston, ARNP
• WH FL Dental PLLC (Walmart Health)
• WH FL Dental PLLC
• WH FL Optometry PLLC

• Community/Retail Pharmacy in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.