Lake Forest Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAKE FOREST PHARMACY LLC

Practice address

22661 Lambert St Ste 208
Lake Forest, CA 92630-1612

Phone

(650) 353-5495

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Mohammad Afridi

Title

Officer

Phone

(650) 353-5495

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1841868577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22661 LAMBERT ST STE 208",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22661 LAMBERT ST STE 208",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301612",
            "telephone_number": "650-353-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "AFRIDI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "650-353-5495"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Lakin
• Diemquyen Lam, PHARM D
• Olivia Chanel Land

• Community/Retail Pharmacy in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.