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LAKEPOINTE PHARMACY INC NPI 1477704096


NPI Information

NPI: 1477704096
Provider Name: LAKEPOINTE PHARMACY INC

Doing Business As: LAKEPOINTE PHARMACY #1

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1005 W RALPH HALL PKWY
STE 147
ROCKWALL, TX
ZIP 75032
Phone: (972) 722-4339
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LAKEPOINTE PHARMACY INC is a compounding pharmacy pharmacy in Rockwall, TX. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. LAKEPOINTE PHARMACY INC NPI is 1477704096. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakepointe Pharmacy #1.

The provider's business location address is:

1005 W RALPH HALL PKWY
STE 147
ROCKWALL, TX
ZIP 75032-658
Phone: (972) 722-4339
Fax: (888) 737-4524

The provider's authorized official is Raymond Amaechi .
The authorized official title is Owner and has the following contact phone number (214) 476-6323.

The enumeration date for this NPI number is 10/1/2008 and was last updated on 4/3/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336C0004XPharmacyCompounding Pharmacy26193TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1145951MEDICAIDTEXAS
22117246OTHERPK

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: 4/28/2024

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