LAKELAND FAMILY PHARMACY (NPI# 1568848026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568848026 |
| Entity Type | Organization |
| Organization Name | LAKELAND FAMILY PHARMACY |
| Other Organization Name | LAKELAND FAMILY PHARMACY |
| Practice Address |
3655 Innovation Dr Lakeland FL 33812-4106 |
| Practice Telephone | 8636445415 |
| Practice Fax Number | 8636442915 |
| Mailing Telephone | 8636445415 |
| Mailing Fax Number | 8636442915 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | TIMOTHY CLAY (MANAGING PARTNER) |
| Authorized Official Telephone | 8636195269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH29146 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2153464 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeland Family Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326447988 | Lakeland Family Pharmacy | Pharmacy | 605 W Memorial Blvd, Lakeland, FL 33815-1466 | 2014-08-20 |
| 1467827840 | Lakeland Family Pharmacy | Pharmacy | 427 E Central Ave, Winter Haven, FL 33880-3051 | 2015-12-10 |
| Street Address |
3655 INNOVATION DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33812-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760600142 | Internal Medicine Specialists Medical Group Pa | Internal Medicine | 3655 Innovation Dr, Lakeland, FL 33812 | 2007-04-23 |
| 1174095616 | Kristen Lynn Tolley | Registered Nurse | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2018-12-21 |
| 1659874451 | Zachary Allen Oliver | Nurse Practitioner | 3655 Innovation Dr, Lakeland, FL 33812 | 2018-03-18 |
| 1770008773 | Reliance Healthcare Network | Clinic/Center | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2017-08-10 |
| 1205362431 | Reliance Medical Centers | Clinic/Center | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2017-05-09 |
| 1174058879 | Reliance Medical Centers | Point of Service | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2017-05-01 |
| 1437602422 | Atiyeh Amer Atiyeh | General Practice | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2016-07-26 |
| 1851749774 | Medlux LLC | Pharmacy | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2016-06-01 |
| 1376924191 | Isabel Victoria Hidalgo Acosta I | General Practice | 3655 Innovation Dr, Lakeland, FL 33812 | 2015-06-17 |
| 1912115445 | Jose A Pares | General Practice | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891036976 | Arlene Nitza Hunt | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2013-03-14 |
| 1952648867 | Christopher Benka | Pharmacist | 5185 Us Highway 98 S, Lakeland, FL 33812 | 2013-01-11 |
| 1407105083 | Elena Kan | Dentist | 5644 Vintage View Boulevard, Lakeland, FL 33812 | 2012-08-29 |
| 1760611412 | Blanca Lilia Fernandez | Dentist | 5163 Us Highway 98 S, Lakeland, FL 33812 | 2009-07-02 |
| 1033314190 | Gustavo Alberto De Jesus-gomez | Surgery | 5907 Hillside Heights Dr., Lakeland, FL 33812 | 2007-06-19 |
| 1124171475 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 5155 Us Highway 98 South, Suites 5b&5c, Lakeland, FL 33812 | 2007-01-19 |
| 1356322234 | Carlos M Romero | Family Medicine | 3655 Innovation Drive, Lakeland, FL 33812 | 2005-11-08 |
| 1427055318 | Roxann Castelli Cook | Family Medicine | 2803 Meridian Point Lane, Lakeland, FL 33812 | 2005-07-07 |
| 1316577513 | Ashley Joanne Reckord | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2020-01-16 |
| 1013470483 | Sanger and Associates - Behavioral and Psychological Services, LLC | Psychologist | 2780 Verandah Vue Way, Lakeland, FL 33812 | 2019-04-11 |
| Find all providers in zip 33812 | ||||
| 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 |
|---|---|---|---|---|
| 1073147849 | Baycare Urgent Care, LLC | Pharmacy | 2645 S Florida Ave, Lakeland, FL 33803-3829 | 2020-03-02 |
| 1003370057 | Riaan Pharmacy LLC | Pharmacy | 2105 New Tampa Hwy, Lakeland, FL 33815-7364 | 2019-01-24 |
| 1902298805 | Us Specialty Care, LLC | Pharmacy | 500 Eagles Landing Dr Ste A, Lakeland, FL 33810-2899 | 2015-03-02 |
| 1326447988 | Lakeland Family Pharmacy | Pharmacy | 605 W Memorial Blvd, Lakeland, FL 33815-1466 | 2014-08-20 |
| 1659668275 | Lakeland Discount Pharmacy | Pharmacy | 1755 E Edgewood Dr, Lakeland, FL 33803-3411 | 2011-07-03 |
| 1760779615 | Med Express Rx | Pharmacy | 1717 Shepherd Rd, Lakeland, FL 33811-2179 | 2011-06-29 |
| 1255405775 | Tri-county Human Services Inc | Pharmacy | 1807 Crystal Lake Dr, Lakeland, FL 33801-5979 | 2006-11-17 |
| 1104911072 | Publix Super Markets, Inc. | Pharmacy | 3300 Publix Corporate Pkwy, Lakeland, FL 33811-3311 | 2006-10-04 |
| 1891899878 | Holiday Cvs LLC | Pharmacy | 101 N Wabash Ave, Lakeland, FL 33815-7368 | 2006-09-12 |
| 1174627061 | Holiday Cvs LLC | Pharmacy | 5010 S Florida Ave, Lakeland, FL 33813-2510 | 2006-09-12 |
| Find all providers in LAKELAND | ||||
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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.