| NPI | 1407960479 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-18 |
| Last Updated | 2025-01-07 |
| Authorized Official | Paula Littleton CFO Phone: 5733488388 |
| Mailing Address | Po Box 1560 Osage Beach, MO 65065-1560 United States Phone: (573) 346-2300 | Fax: (573) 346-8409 📍 View Map |
| Primary Practice Address | 1930-C North Business Route 5 Camdenton, MO 65020-2659 United States Phone: (573) 346-2300 | Fax: (573) 346-8409 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2047179 | PK |
| MEDICAID | MO | 600054704 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 333600000X – Pharmacy | MO | 005731 |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | - | - |
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
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About NPI 1407960479
Lake Regional Health System is an organization registered in the CMS NPPES NPI Registry with NPI number 1407960479. The primary specialty listed is Pharmacy. The organization is located in Camdenton, MO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407960479?
NPI 1407960479 belongs to Lake Regional Health System, a Pharmacy in Camdenton, MO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407960479 active?
The current status of NPI 1407960479 in the NPPES registry is Active. The record was last updated on 2025-01-07.
What specialty is NPI 1407960479?
NPI 1407960479 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407960479?
You can verify NPI 1407960479 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407960479?
The primary practice address on file for NPI 1407960479 is 1930-C North Business Route 5, Camdenton, MO 65020-2659. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407960479 issued?
NPI 1407960479 was first issued (enumerated) on 2006-08-18. The NPPES record was last updated on 2025-01-07.
Practice Location Map
Lake Regional Health System is located at 1930-C North Business Route 5, Camdenton, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lake Regional Health System. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1407960479. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 005731 | MO |