Organization Active NPI

Lakeview Center Inc

  • Long Term Care Pharmacy
  • Pensacola, FL
National Provider Identifier
1922696046
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LAKEVIEW CENTER INC
Practice address
1201 W Hernandez St
Pensacola, FL 32501-1815
Phone
(850) 469-3719
Fax
(850) 595-1412
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Dr. Jeffery Steven Fletcher, PHARM.D.
Title
Director of Pharmacy
Phone
(850) 469-3719

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1201 W Hernandez St
Pensacola, FL 32501-1815

Mailing address

1201 W Hernandez St
Pensacola, FL 32501-1815
Phone (850) 469-3719

Other identifiers 1

IdentifierTypeStateIssuer
031722500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pensacola

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 W Hernandez St
Pensacola, FL 32501
Phone (850) 469-3719

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1922696046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W HERNANDEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011815",
            "telephone_number": "850-469-3719",
            "fax_number": "850-595-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W HERNANDEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011815",
            "telephone_number": "850-469-3719",
            "fax_number": "850-595-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "850-469-3719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031722500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pensacola",
            "affiliation": "N",
            "address_1": "1201 W Hernandez St",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325011815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.