OrganizationActive
Lakeshore Family Medicine Associates PC
NPI 1801211826 · Non-Pharmacy Dispensing Site · Derby, NY
Lakeshore Family Medicine Associates PC is a Non-Pharmacy Dispensing Site organization in Derby, NY (NPI 1801211826).
Provider details
- NPI number
- 1801211826
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 233142 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
7060 Erie Rd
Suite 100
Derby, NY 14047-9430
Phone: (716) 947-0408
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Lakeshore Family Medicine Derby
Registry dates
- Enumerated
- 2014-02-27
- Last updated
- 2014-02-27
Frequently asked questions
- What is Lakeshore Family Medicine Associates PC's NPI number?
- Lakeshore Family Medicine Associates PC's National Provider Identifier (NPI) is 1801211826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Family Medicine Associates PC?
- Lakeshore Family Medicine Associates PC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Lakeshore Family Medicine Associates PC located?
- Lakeshore Family Medicine Associates PC's practice location on file with NPPES is 7060 Erie Rd, Derby, NY 14047-9430.
- What is Lakeshore Family Medicine Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Family Medicine Associates PC is (716) 947-0408.
- Who is the authorized official for Lakeshore Family Medicine Associates PC?
- The authorized official listed on Lakeshore Family Medicine Associates PC's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Family Medicine Associates PC's NPI active?
- Yes — Lakeshore Family Medicine Associates PC's NPI (1801211826) is active in the NPPES registry as of the last update on 2014-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.