OrganizationActive
Lake Regional Health System
NPI 1407960479 · Pharmacy · Camdenton, MO
Provider details
- NPI number
- 1407960479
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Paula Littleton, Cfo(573) 348-8388
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
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
1930-C North Business Route 5
Camdenton, MO 65020-2659
Phone: (573) 346-2300
Fax: (573) 346-8409
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1560
Osage Beach, MO 65065-1560
Other names (DBA / former)
- Doing business as
- Lake Regional Pharmacy - Cmc
- Doing business as
- Lake Regional Pharmacy - Cmc
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.