Lake Country Pharmacy LLC
NPI 1326605452ActiveOrganization· Pharmacy, Compounding Pharmacy· Eatonton, GA
Pharmacy, Compounding Pharmacy in Eatonton, Georgia, registered in NPPES in May 2019. The authorized official on file is Carey A. Vaughan, PHARMD, Owner. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1326605452 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2019 |
| Last updated in NPPES | Jan 20, 2021 |
| Certified by provider | Jan 20, 2021 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (GA) |
|---|