OrganizationActive
Lake Pharmacy Inc
NPI 1972592889 · Community/Retail Pharmacy · Belle Glade, FL
Provider details
- NPI number
- 1972592889
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Robert Story, Rpa(561) 996-0200
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
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
25 Martin Luther King Jr Blvd
Suite 3
Belle Glade, FL 33430-4044
Phone: (561) 996-0200
Fax: (561) 996-0201
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 977
Belle Glade, FL 33430-0977
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2011-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.