LAKESIDE PHARMACY LLC
NPI 1245723725
Pharmacy - Community/Retail Pharmacy in Huntersville, NC

Active since June 11, 2018CLIA 34D2271224 · Waiver
9615 SHERRILL ESTATES RD STE B, HUNTERSVILLE, NC 28078(980) 441-8600(980) 444-8625 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2020, Jun 11, 2018 (2 updates tracked since 2018).

About Lakeside Pharmacy Llc NPPES

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

LAKESIDE PHARMACY LLC (NPI 1245723725), doing business as Lakeside Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Huntersville, North Carolina and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Thanveer Reddy Gadwal, Manager, as its authorized official.

NPPES Registry Identity

NPI1245723725
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKESIDE PHARMACY LLC
Location Address9615 SHERRILL ESTATES RD STE BHuntersville, NC 28078-6552
Mailing Address9615 Sherrill Estates Rd, Suite BHuntersville, NC 28078-6552 · (980) 441-8600 · Fax (980) 444-8625
Fax(980) 444-8625
Organization SubpartNo
Authorized OfficialThanveer Reddy GadwalManager · (980) 441-8600
Enumeration DateJune 11, 2018
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1245723725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NC · 13756
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 ListedPharmacyTaxonomy 333600000X
9615 SHERRILL ESTATES RD STE B, Huntersville, NC 28078

Other Names 1

Doing Business AsLakeside Pharmacy

Other Identifiers 3

Medicaid1245723725NC
Medicaid7Z1352SC
Other2177949Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2271224

Lakeside Pharmacy · Huntersville, NC
Active · expires Oct 30, 2026
CLIA Number34D2271224
Laboratory TypePharmacy
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorThanveer R. Gadwal
Laboratory Phone(980) 441-8600
Laboratory LocationLakeside Pharmacy9615 Sherrill Estates Rd, Ste B, Huntersville, NC 28078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pharmacist
9615 SHERRILL ESTATES RD STE B
HUNTERSVILLE, NC 28078

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 1245723725. It was assigned to this organization in the NPPES registry on June 11, 2018. The provider is doing business as Lakeside Pharmacy.

Where is Lakeside Pharmacy LLC located?

Lakeside Pharmacy LLC is located at 9615 Sherrill Estates Rd Ste B, Huntersville, NC 28078. The listed phone number is (980) 441-8600.

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.

Does Lakeside Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2271224) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 49 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 October 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.