Lake Park Pharmacy LLC
NPI 1508964537 · Community/Retail Pharmacy · Lake Park, GA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Park Pharmacy LLC is a Community/Retail Pharmacy organization in Lake Park, GA (NPI 1508964537).
Provider details
- NPI number
- 1508964537
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Hugh Chancy, Owner(229) 794-3525
- License
- PHRE008870 (GA)
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Chancy Drugs
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2015-06-10
Frequently asked questions
- What is Lake Park Pharmacy LLC's NPI number?
- Lake Park Pharmacy LLC's National Provider Identifier (NPI) is 1508964537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Park Pharmacy LLC?
- Lake Park Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lake Park Pharmacy LLC located?
- Lake Park Pharmacy LLC's practice location on file with NPPES is 453 Lakes Blvd, Lake Park, GA 31636-6607.
- What is Lake Park Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Park Pharmacy LLC is (229) 559-9394.
- Does Lake Park Pharmacy LLC accept Medicare?
- Lake Park 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 Park Pharmacy LLC?
- The authorized official listed on Lake Park Pharmacy LLC's NPPES record is Hugh Chancy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Park Pharmacy LLC's NPI active?
- Yes — Lake Park Pharmacy LLC's NPI (1508964537) is active in the NPPES registry as of the last update on 2015-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.