IndividualActive
Laurel Park
NPI 1144623745 · Pharmacist · Plymouth, IN
Provider details
- NPI number
- 1144623745
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26025359A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2014 N Michigan St
Plymouth, IN 46563-1048
Phone: (574) 936-8388
Fax: (574) 936-7807
Street-level locationGet directions
Mailing address
2014 N Michigan St
Plymouth, IN 46563-1048
Registry dates
- Enumerated
- 2014-09-27
- Last updated
- 2014-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.