1. Home
  2. Directory
  3. Texas
  4. Laredo
  5. Pharmacy
  6. NPI Profile

LAKESIDE PHARMACY SOUTH
NPI 1306107073
Pharmacy - Community/Retail Pharmacy in Laredo, TX

Active since May 30, 2012
4151 JAIME ZAPATA MEMORIAL HWY STE 208, LAREDO, TX 78043(956) 724-2090(956) 724-2170 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Pharmacy South NPPES

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

LAKESIDE PHARMACY SOUTH (NPI 1306107073) is a healthcare organization registered as a community/retail pharmacy in Laredo, Texas and active in the NPI registry since May 2012. The organization lists Tom Contreras, Owner/mgr/phcy Tech, as its authorized official.

NPPES Registry Identity

NPI1306107073
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTH TEXAS PHARMACY GROUP LLC
Location Address4151 JAIME ZAPATA MEMORIAL HWY STE 208Laredo, TX 78043-4782
Mailing Address4151 Bob Bullock Loop Ste 208Laredo, TX 78043-4782 · (956) 724-2090 · Fax (956) 724-2170
Phone(956) 724-2090
Fax(956) 724-2170
Organization SubpartNo
Authorized OfficialTom ContrerasOwner/mgr/phcy Tech · (956) 725-6337
Enumeration DateMay 30, 2012
Last NPPES UpdateOctober 29, 2015
✔ NPI 1306107073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 28345
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
4151 JAIME ZAPATA MEMORIAL HWY STE 208, Laredo, TX 78043
Open in Google Maps ↗

Other Names 1

Doing Business AsLakeside Pharmacy South

Other Identifiers 2

Other2136707Pk
Medicaid146700TX

Other Providers at the Same Location NPPES

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

CKS HEALTHCARE /INC.
Pharmacy (Community/Retail Pharmacy)
4151 JAIME ZAPATA MEMORIAL HWY STE 208
LAREDO, TX 78043
Webb County (956) 724-2090

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 South Texas Pharmacy Group LLC's NPI number?

The NPI number for South Texas Pharmacy Group LLC is 1306107073. It was assigned to this organization in the NPPES registry on May 30, 2012. The provider is doing business as Lakeside Pharmacy South.

Where is South Texas Pharmacy Group LLC located?

South Texas Pharmacy Group LLC is located at 4151 Jaime Zapata Memorial Hwy Ste 208, Laredo, TX 78043. The listed phone number is (956) 724-2090.

What is South Texas Pharmacy Group LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for South Texas Pharmacy Group LLC was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.