What is Connor Lake's NPI number?

Connor Lake's National Provider Identifier (NPI) is 1265263701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Connor Lake's specialty?

Connor Lake is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Connor Lake located?

Connor Lake's practice location on file with NPPES is 3650 Stardust Dr, Hannibal, MO 63401-2411.

What is Connor Lake's phone number?

The practice phone number listed in the NPPES registry for Connor Lake is (573) 406-0682.

Is Connor Lake's NPI active?

Yes — Connor Lake's NPI (1265263701) is active in the NPPES registry as of the last update on 2025-01-22.

IndividualActive

Connor Lake, PHARMD

NPI 1265263701 · Pharmacist · Hannibal, MO

Connor Lake, PHARMD is a Pharmacist provider in Hannibal, MO (NPI 1265263701).

Provider details

NPI number: 1265263701
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 051306670 (IL)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 2024031293 (MO)
Pharmacy Service Providers
Pharmacist183500000XLicense 051306670 (IL)
Pharmacy Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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

3650 Stardust Dr

Hannibal, MO 63401-2411

Phone: (573) 406-0682

Street-level locationGet directions

More MO providers

Mailing address