Lakeshore Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06673 Issued in KY

Legal business name

LAKESHORE PHARMACY INC.

Practice address

51 W Lakeshore Dr
Burnside, KY 42519-9424

Phone

(606) 561-7104

Fax

(606) 561-9205

NPI assigned

Jul 1, 2006

Last updated

Sep 17, 2008By 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

Dr. Patty Gregory Guinn, PHARM.D.NPI 1104412766

Title

President

Phone

(606) 561-7104

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Patty Guinn, PHARM.D.

  • Pharmacist
  • Burnside, KY
  • NPI 1104412766
  NPD Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1851320931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W LAKESHORE DR",
            "city": "BURNSIDE",
            "state": "KY",
            "postal_code": "425199424",
            "telephone_number": "606-561-7104",
            "fax_number": "606-561-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W LAKESHORE DR",
            "city": "BURNSIDE",
            "state": "KY",
            "postal_code": "425199424",
            "telephone_number": "606-561-7104",
            "fax_number": "606-561-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-561-7104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P06673",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "P06673",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1826962",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54002555",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003427",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Coffey
• Patty Guinn, PHARM.D.
• Lake Cumberland District Health Dept (Burnside Elementary School)
• Lake Cumberland Recovery, Inc
• Lake Cumberland Recovery, Inc
• Lewis Martin Misinay, D.C.
• Lori Beth Stogsdill, RN

• Community/Retail Pharmacy in Burnside, KY
• Providers in Burnside, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.