LAKE FOREST PHARMACY NPI 1386174894

NPI Information

  • NPI: 1386174894
  • Provider Name: LAKE FOREST PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: LAKEFOREST PHARMACY
  • Address: 950 CORPORATE PKWY STE 104
    WENTZVILLE, MO
    ZIP 63385
  • Phone: (636) 856-9555

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NPI Details

LAKE FOREST PHARMACY is a community/retail pharmacy pharmacy in Wentzville, MO. The provider is 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. LAKE FOREST PHARMACY NPI is 1386174894. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeforest Pharmacy.

The provider's business location address is:

950 CORPORATE PKWY STE 104
WENTZVILLE, MO
ZIP 63385-851
Phone: (636) 856-9555
Fax: (866) 548-7855

The provider's authorized official is Thomas Wegrzyn .
The authorized official title is Owner and has the following contact phone number (636) 856-9555.

The enumeration date for this NPI number is 6/16/2017 and was last updated on 12/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy2017018401MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12169645OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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