OrganizationActive
Eagle Lake Pharmacy Inc
NPI 1023374063 · Community/Retail Pharmacy · Lakeland, FL
Eagle Lake Pharmacy Inc is a Community/Retail Pharmacy organization in Lakeland, FL (NPI 1023374063).
Provider details
- NPI number
- 1023374063
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Polycarp Agbara, Owner(863) 738-8002
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5245 a U S Hwy 98 N
Suite a
Lakeland, FL 33809
Phone: (863) 937-7992
Fax: (863) 937-7994
Street-level locationGet directions
Mailing address
5245 a U S Hwy 98 N
Lakeland, FL 33809
Other names (DBA / former)
- Doing business as
- Eagle Lake Pharmacy
Registry dates
- Enumerated
- 2012-04-04
- Last updated
- 2016-11-23
Frequently asked questions
- What is Eagle Lake Pharmacy Inc's NPI number?
- Eagle Lake Pharmacy Inc's National Provider Identifier (NPI) is 1023374063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Lake Pharmacy Inc?
- Eagle Lake Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Eagle Lake Pharmacy Inc located?
- Eagle Lake Pharmacy Inc's practice location on file with NPPES is 5245 a U S Hwy 98 N, Lakeland, FL 33809.
- What is Eagle Lake Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Eagle Lake Pharmacy Inc is (863) 937-7992.
- Who is the authorized official for Eagle Lake Pharmacy Inc?
- The authorized official listed on Eagle Lake Pharmacy Inc's NPPES record is Polycarp Agbara, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Lake Pharmacy Inc's NPI active?
- Yes — Eagle Lake Pharmacy Inc's NPI (1023374063) is active in the NPPES registry as of the last update on 2016-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.