Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Country Pharmacy

Pharmacist in Oconomowoc, WI · enumerated 2005 · authorized official Mary Houston, Pharmacist.

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

National Provider Identifier

1184612749

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Registry record

Entity type Organization (Type 2)

Legal business name Lake Country Pharmacy

Practice address 791 Summit Ave, Oconomowoc, WI, 53066

Phone (262) 569-0284

Fax (262) 569-0539

Enumeration date Oct 7, 2005

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

183500000X Pharmacist Pharmacy Service Providers · License 6944 (WI) Primary

Authorized official

Name Mary Houston

Title Pharmacist

Phone (262) 569-0284

Other identifiers

Identifier	Type	State	Issuer
5119549	Other	-	NABP
33161400	Medicaid	WI	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Lake Country Pharmacy located?

The practice location on file with NPPES is in Oconomowoc, WI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.