Cedar Lake Pharmacy
Community/Retail Pharmacy Accepts Medicare
921 Cedar Lake Rd Ste F, Biloxi
Mississippi, 39532-2126
228-396-4412 228-396-4414
Cedar Lake Pharmacy is an authorized DME supplier for medicare equipments and products.
Cedar Lake Pharmacy is a Community/Retail Pharmacy in Biloxi, Mississippi. It is located at 921 Cedar Lake Rd Ste F, Biloxi and it's customer support contact number is 228-396-4412. The authorized person of Cedar Lake Pharmacy is Thuy T Nguyen who is Pic/owner of the pharmacy and his contact number is 228-396-4412. Cedar Lake Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Cedar Lake Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Cedar Lake Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Cedar Lake Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 921 Cedar Lake Rd Ste F, Biloxi, Mississippi, 39532-2126 |
| Phone: | 228-396-4412 |
| Fax: | 228-396-4414 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Thuy T Nguyen |
| Position: | Pic/owner |
| Contact Number: | 228-396-4412 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1689984031 |
| NPI Enumeration Date: | 19 Oct, 2010 |
| NPI Last Update On: | 13 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cedar Lake Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1689984031 | Other | Mississippi | Npi |
| 008773390 | Medicaid | Mississippi | |
Medicare Enrollment:
Cedar Lake Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2466730700 | O20161020002062 | Cedar Lake Pharmacy | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 921 Cedar Lake Rd Ste F, Biloxi, Mississippi |
| Zip: | 39532-2126 |
| Phone Number: | 228-396-4412 |
| Fax Number: | 228-396-4414 |
Patients can reach Cedar Lake Pharmacy at
921 Cedar Lake Rd Ste F, Biloxi, Mississippi or can
call on customer care at 228-396-4412.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.