LAKE ARROWHEAD VILLAGE PHARMACY (NPI# 1518034198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518034198 |
Entity Type | Organization |
Organization Name | LAKE ARROWHEAD VILLAGE PHARMACY |
Other Organization Name | LAKE ARROWHEAD VILLAGE PHARMACY |
Practice Address |
28200 St Hwy 189 Lake Arrowhead CA 92352-9700 |
Mailing Address |
Po Box 2945 Lake Arrowhead CA 92352-2945 |
Practice Telephone | 9093360120 |
Practice Fax Number | 9093360140 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2011-07-25 |
Authorized Official Name | MICHELLE BLAIN (PRESIDENT) |
Authorized Official Telephone | 9093360120 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46040 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0588600 | 01 | |
CA | PHA460400 | 05 |
Other Name | Type Code |
---|---|
LAKE ARROWHEAD VILLAGE PHARMACY | Doing Business As Name - Organization |
Street Address |
28200 ST HWY 189 |
City | LAKE ARROWHEAD |
State | CA |
Zip Code | 92352-9700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
Find all providers in zip 92352 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912262809 | Terry L Blasingame Inc | Pharmacy | 28200 Highway 189 Ste N-150, Lake Arrowhead, CA 92352-9700 | 2012-07-07 |
1407926215 | Pharmacy Service Inc | Pharmacy | 29099 Hospital Rd, Ste 101, Lake Arrowhead, CA 92352 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
Find all providers with the same taxonomy |
City | LAKE ARROWHEAD |
Zip Code | 92352 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.