1. Home
  2. Directory
  3. Maryland
  4. Pasadena
  5. Pharmacy
  6. NPI Profile

LAKE SHORE DRUGS LLC
NPI 1558129700
Pharmacy - Long Term Care Pharmacy in Pasadena, MD

Active since March 12, 2024
3820 MOUNTAIN RD STE G, PASADENA, MD 21122(410) 255-0099 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lake Shore Drugs Llc NPPES

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

LAKE SHORE DRUGS LLC (NPI 1558129700) is a healthcare organization registered as a long term care pharmacy in Pasadena, Maryland and active in the NPI registry since March 2024. The organization lists Rajendra Prasad Kamma, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1558129700
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLAKE SHORE DRUGS LLC
Location Address3820 MOUNTAIN RD STE GPasadena, MD 21122-2027
Mailing Address3820 Mountain Rd Ste GPasadena, MD 21122-2027 · (410) 255-0099
Phone(410) 255-0099
Organization SubpartNo
Authorized OfficialRajendra Prasad KammaPharmacist · (410) 255-0099
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1558129700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
3820 MOUNTAIN RD STE G, Pasadena, MD 21122
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

RAJENDRA PRASAD KAMMA
Pharmacist
3820 MOUNTAIN RD STE G
PASADENA, MD 21122
Anne Arundel County (410) 255-0099
JIWON LEE
Pharmacist
3820 MOUNTAIN RD STE G
PASADENA, MD 21122
Anne Arundel County (410) 255-0099

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 Lake Shore Drugs LLC's NPI number?

The NPI number for Lake Shore Drugs LLC is 1558129700. It was assigned to this organization in the NPPES registry on March 12, 2024.

Where is Lake Shore Drugs LLC located?

Lake Shore Drugs LLC is located at 3820 Mountain Rd Ste G, Pasadena, MD 21122. The listed phone number is (410) 255-0099.

What is Lake Shore Drugs LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Lake Shore Drugs LLC was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.