LAKE AVE PHARMACY INC (NPI# 1932111861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932111861 |
| Entity Type | Organization |
| Organization Name | LAKE AVE PHARMACY INC |
| Practice Address |
130 Lake Ave Yonkers NY 10703-2713 |
| Practice Telephone | 9149653034 |
| Practice Fax Number | 9149654176 |
| Mailing Telephone | 9149653034 |
| Mailing Fax Number | 9149654176 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN A LUPO (PHARMACIST) |
| Authorized Official Telephone | 9149653034 |
| Authorized Official Credential | R PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 20096 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01105040 | 05 | |
| NABP | 3393206 | 01 |
| Street Address |
130 LAKE AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10703-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073773222 | John Lupo | Pharmacist | 130 Lake Ave, Yonkers, NY 10703-2713 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865269 | Marvin Burgos | Specialist/Technologist, Other | 150 Parck Av., Yonkers, NY 10703 | 2016-12-08 |
| 1417490707 | Charity Excel Okechukwu | Registered Nurse | 10 Amackassin Terrice, Yonkers, NY 10703 | 2016-11-18 |
| 1164871943 | Dian Theresa Skeete-carter | Registered Nurse | 69 Moquette Row, Yonkers, NY 10703 | 2016-06-13 |
| 1962812214 | Greenburgh-north Castle Ufsd/greenburgh Academy | Local Education Agency (LEA) | 108 Shonnard Place, Yonkers, NY 10703 | 2014-05-07 |
| 1336562735 | Gina Robinson | Social Worker | 147 Bolmer Avenue, Yonkers, NY 10703 | 2014-01-22 |
| 1356684062 | Ana Suarez-tiburcio | Dentist | 22 Mt Pleasant Rd, Yonkers, NY 10703 | 2013-04-01 |
| 1326324179 | Godson Ihuoma Enyia | Registered Nurse | #2 Park Ave, Yonkers Service Center, Yonkers, NY 10703 | 2011-10-25 |
| 1326335175 | Compression Medical Supplies Corp. | Durable Medical Equipment & Medical Supplies | 270 Woodland Avenue, #2, Yonkers, NY 10703 | 2011-06-30 |
| 1396069431 | Theodore Cancel | Counselor | 8 Shonnard Place, Yonkers, NY 10703 | 2010-03-18 |
| 1619106481 | Catherine M Dwyer-warren | Licensed Practical Nurse | 87 High St., 2g, Yonkers, NY 10703 | 2009-07-14 |
| Find all providers in zip 10703 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635758 | Map Pharmacy Inc | Pharmacy | 984 N Broadway Ste L06, Yonkers, NY 10701-1319 | 2019-02-13 |
| 1740754399 | Mohammad S Khan | Pharmacy | 41 Grant St Apt 1, Yonkers, NY 10704-2362 | 2019-01-17 |
| 1255806246 | Mount Sinai Health Inc. | Pharmacy | 1086 N Broadway Ste 155, Yonkers, NY 10701-1114 | 2018-10-05 |
| 1275908816 | Mclean Ave Pharmacy Corp | Pharmacy | 211 Mclean Ave, Yonkers, NY 10705-4419 | 2015-12-08 |
| 1225186224 | Esther Pharmacy Inc | Pharmacy | 71 S Broadway, Yonkers, NY 10701-4004 | 2007-01-08 |
| 1306957725 | 475 Pharmacy Corp | Pharmacy | 642 Mclean Ave, Yonkers, NY 10705 | 2006-08-31 |
| 1962517748 | Shoprite Supermarkets Inc. | Pharmacy | 278 Tuckahoe Rd, Yonkers, NY 10710 | 2006-08-20 |
| 1750300786 | Stop and Shop Supermarket Co LLC | Pharmacy | Vrendenburgh Ave and Xavier Dr, Yonkers, NY 10704 | 2006-07-19 |
| 1760424063 | Crosstown Pharmacy Inc | Pharmacy | 352 Kimball Ave, Yonkers, NY 10704-3042 | 2006-06-12 |
| 1285624015 | Rlt Pharmacy, Inc. | Pharmacy | 671 Yonkers Ave, Yonkers, NY 10704-2621 | 2005-10-24 |
| Find all providers in YONKERS | ||||
Please comment or provide details below to improve the information on LAKE AVE PHARMACY INC.
| 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.