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NPI · 1104983899 · NPPES-sourced

Lake Wire Pharmacy INC

ActivePharmacy
NPI Number
1104983899
Type 2 · Organisation
Taxonomy Code
333600000X
Contact
(863) 682-6880
License FL · PH10343
Last Updated
About 8 months ago (Sep 2025)
Enumerated 2007-01-02
Primary practice addressFL · 33815
505 Martin Luther King Jr Ave, Suite 3Lakeland, FL 33815
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About this NPIWhat this record shows.

NPI 1104983899 is registered to Lake Wire Pharmacy INC, a healthcare organisation classified as "Pharmacy" and located at 505 Martin Luther King Jr Ave, Suite 3 in Lakeland, Florida. The organisation's authorised official is Chorette Dickens. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-01-02
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lake Wire Pharmacy INC accepts. To confirm in-network status with your specific health plan, contact Lake Wire Pharmacy INC directly at (863) 682-6880.

Frequently asked

Yes. NPI 1104983899 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (863) 682-6880.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lake Wire Pharmacy INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy333600000X
Last updated2025-09
Enumerated2007-01-02
StatusActive
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