Lake Country Pharmacy LLC
NPI 1326605452 · Compounding Pharmacy · Eatonton, GA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Country Pharmacy LLC is a Compounding Pharmacy organization in Eatonton, GA (NPI 1326605452).
Provider details
- NPI number
- 1326605452
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carey Vaughan, Owner(762) 777-7001
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Country Compounding & Wellness
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Lake Country Pharmacy LLC's NPI number?
- Lake Country Pharmacy LLC's National Provider Identifier (NPI) is 1326605452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Country Pharmacy LLC?
- Lake Country Pharmacy LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Lake Country Pharmacy LLC located?
- Lake Country Pharmacy LLC's practice location on file with NPPES is 121 Harmony Xing Ste 3, Eatonton, GA 31024-9573.
- What is Lake Country Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Country Pharmacy LLC is (762) 777-7001.
- Does Lake Country Pharmacy LLC accept Medicare?
- Lake Country Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Country Pharmacy LLC?
- The authorized official listed on Lake Country Pharmacy LLC's NPPES record is Carey Vaughan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Country Pharmacy LLC's NPI active?
- Yes — Lake Country Pharmacy LLC's NPI (1326605452) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.