OrganizationActive
Lake Wire Pharmacy Inc
NPI 1104983899 · Pharmacy · Lakeland, FL
Lake Wire Pharmacy Inc is a Pharmacy organization in Lakeland, FL (NPI 1104983899).
Provider details
- NPI number
- 1104983899
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Chorette Dickens, Pharmacy Manager(863) 682-6880
- License
- PS18682 (FL)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
505 Martin Luther King Jr Ave
Suite 3
Lakeland, FL 33815
Phone: (863) 682-6880
Fax: (863) 688-0721
Street-level locationGet directions
Mailing address
505 Martin Luther King Jr Ave
Lakeland, FL 33815
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2025-09-11
Frequently asked questions
- What is Lake Wire Pharmacy Inc's NPI number?
- Lake Wire Pharmacy Inc's National Provider Identifier (NPI) is 1104983899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Wire Pharmacy Inc?
- Lake Wire Pharmacy Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Lake Wire Pharmacy Inc located?
- Lake Wire Pharmacy Inc's practice location on file with NPPES is 505 Martin Luther King Jr Ave, Lakeland, FL 33815.
- What is Lake Wire Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Wire Pharmacy Inc is (863) 682-6880.
- Who is the authorized official for Lake Wire Pharmacy Inc?
- The authorized official listed on Lake Wire Pharmacy Inc's NPPES record is Chorette Dickens, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Wire Pharmacy Inc's NPI active?
- Yes — Lake Wire Pharmacy Inc's NPI (1104983899) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.