DeSoto Drug Store – Prosthetic/Orthotic Supplier, NPI 1467474411

DeSoto Drug Store is a healthcare provider. based in Lake city, Florida. specializing in Prosthetic/Orthotic Supplier. The organization holds a License No. PH630 (FL). The NPI Number for DeSoto Drug Store is 1467474411

Main info

Organization
Name
DeSoto Drug Store
NPI
1467474411
Phone
(386) 752-1793
Address
297 N MARION AVE
Authorized Official
MR. DONALD RAY HOUSTON PRESIDENT RPH.
Enumeration Date
25 July 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for DeSoto Drug Store

  • 297, North Marion Avenue, Lake City, Columbia County, Florida, 32055, United States

    LAKE CITY, FL 320552866

    Phone: (386) 752-1793

    Fax: (386) 752-0611

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32055)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DeSoto Drug Store?
DeSoto Drug Store — NPI 1467474411 — is the standard way to identify this listing.
Does the file indicate DeSoto Drug Store is practicing under active NPI?
Directory data currently reports DeSoto Drug Store as active.
What is DeSoto Drug Store best known for clinically?
Directory data describes DeSoto Drug Store with Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
Does DeSoto Drug Store list a practice location?
Patients near Lake City, Florida may find DeSoto Drug Store in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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