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Lake Escape Inc

Community/Retail Pharmacy in Burlington, NC · enumerated 2007 · authorized official P David Smith, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124161864

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Escape Inc
Other name <Unavail>
Practice address 378 W Harden St, Burlington, NC, 27215
Phone (336) 222-9811
Fax (336) 222-9310
Enumeration date Feb 14, 2007
Last updated in NPPES Nov 5, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License NC05919 (NC) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name P David Smith
Title President
Phone (336) 222-9811

Other identifiers

Identifier Type State Issuer
0015701 Medicaid NC -
3431246 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lake Escape Inc?
The NPI for Lake Escape Inc is 1124161864, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Escape Inc?
NPPES lists P David Smith (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-05.