OrganizationActive
East Lake Pharmacy Inc
NPI 1326151432 · Community/Retail Pharmacy · Erie, PA
East Lake Pharmacy Inc is a Community/Retail Pharmacy organization in Erie, PA (NPI 1326151432).
Provider details
- NPI number
- 1326151432
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Kosobucki, Owner(814) 456-4108
- License
- PP481227 (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 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
1896 E Lake Rd
Erie, PA 16511-1072
Phone: (814) 456-4108
Fax: (814) 456-4417
Street-level locationGet directions
Mailing address
1896 E Lake Rd
Erie, PA 16511-1072
Other names (DBA / former)
- Doing business as
- Medicap Pharmacy
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2023-03-07
Frequently asked questions
- What is East Lake Pharmacy Inc's NPI number?
- East Lake Pharmacy Inc's National Provider Identifier (NPI) is 1326151432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Lake Pharmacy Inc?
- East Lake Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is East Lake Pharmacy Inc located?
- East Lake Pharmacy Inc's practice location on file with NPPES is 1896 E Lake Rd, Erie, PA 16511-1072.
- What is East Lake Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for East Lake Pharmacy Inc is (814) 456-4108.
- Who is the authorized official for East Lake Pharmacy Inc?
- The authorized official listed on East Lake Pharmacy Inc's NPPES record is Richard Kosobucki, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Lake Pharmacy Inc's NPI active?
- Yes — East Lake Pharmacy Inc's NPI (1326151432) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.