Lake of Decatur Inc
NPI 1588613384 · Community/Retail Pharmacy · Decatur, IL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake of Decatur Inc is a Community/Retail Pharmacy organization in Decatur, IL (NPI 1588613384).
Provider details
- NPI number
- 1588613384
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dale Colee, President(217) 429-5165
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- Dales Southlake Pharmacy
- Doing business as
- Dales Southlake Pharmacy
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Frequently asked questions
- What is Lake of Decatur Inc's NPI number?
- Lake of Decatur Inc's National Provider Identifier (NPI) is 1588613384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake of Decatur Inc?
- Lake of Decatur Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lake of Decatur Inc located?
- Lake of Decatur Inc's practice location on file with NPPES is 245 W 1st Dr Ste B, Decatur, IL 62521-5381.
- What is Lake of Decatur Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake of Decatur Inc is (217) 429-5165.
- Does Lake of Decatur Inc accept Medicare?
- Lake of Decatur Inc 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 of Decatur Inc?
- The authorized official listed on Lake of Decatur Inc's NPPES record is Dale Colee, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake of Decatur Inc's NPI active?
- Yes — Lake of Decatur Inc's NPI (1588613384) is active in the NPPES registry as of the last update on 2021-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.