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LAKESIDE PHARMACY
NPI 1013239417
Pharmacy - Community/Retail Pharmacy in Montgomery, TX

Active since February 26, 2010
16955 WALDEN RD STE 100, MONTGOMERY, TX 77356(936) 448-6337(936) 448-6338 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE PHARMACY (NPI 1013239417) is a healthcare organization registered as a community/retail pharmacy in Montgomery, Texas and active in the NPI registry since February 2010. The organization lists Kim Prezioso, President/pharm-in-charge, as its authorized official.

NPPES Registry Identity

NPI1013239417
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKESIDE PHARMACY LLC
Location Address16955 WALDEN RD STE 100Montgomery, TX 77356-3227
Mailing Address16955 Walden Rd, Suite 100Montgomery, TX 77356-3220 · (936) 448-6337 · Fax (936) 448-6338
Phone(936) 448-6337
Fax(936) 448-6338
Organization SubpartNo
Authorized OfficialKim PreziosoPresident/pharm-in-charge · (936) 827-3766
Enumeration DateFebruary 26, 2010
Last NPPES UpdateApril 7, 2010
✔ NPI 1013239417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 26843
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
16955 WALDEN RD STE 100, Montgomery, TX 77356
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Other Names 1

Doing Business AsLakeside Pharmacy

Other Identifiers 1

Other4555186Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESIDE PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
16955 WALDEN RD STE 100
MONTGOMERY, TX 77356
Montgomery County (936) 448-6337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Pharmacy LLC's NPI number?

The NPI number for Lakeside Pharmacy LLC is 1013239417. It was assigned to this organization in the NPPES registry on February 26, 2010. The provider is doing business as Lakeside Pharmacy.

Where is Lakeside Pharmacy LLC located?

Lakeside Pharmacy LLC is located at 16955 Walden Rd Ste 100, Montgomery, TX 77356. The listed phone number is (936) 448-6337.

What is Lakeside Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Lakeside Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 56 other insurers list Lakeside Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Pharmacy LLC was last updated on April 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.