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LAKESIDE PHARMACY LLC
NPI 1780468884
Pharmacy - Long Term Care Pharmacy in Montgomery, TX

Active since August 21, 2023
16955 WALDEN RD STE 100, MONTGOMERY, TX 77356(936) 448-6337(936) 448-6338 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Pharmacy Llc NPPES

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

LAKESIDE PHARMACY LLC (NPI 1780468884) is a healthcare organization registered as a long term care pharmacy in Montgomery, Texas and active in the NPI registry since August 2023. The organization lists Kim Harrigan Prezioso, Owner/pic, as its authorized official.

NPPES Registry Identity

NPI1780468884
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLAKESIDE PHARMACY LLC
Location Address16955 WALDEN RD STE 100Montgomery, TX 77356-3227
Mailing Address16955 Walden Rd Ste 100Montgomery, TX 77356-3227 · (936) 448-6337 · Fax (936) 448-6338
Phone(936) 448-6337
Fax(936) 448-6338
Organization SubpartNo
Authorized OfficialKim Harrigan PreziosoOwner/pic · (936) 448-6337
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1780468884 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.
16955 WALDEN RD STE 100, Montgomery, TX 77356
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Other Names 1

Doing Business AsLakeside Pharmacy Llc

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 (Community/Retail 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 1780468884. It was assigned to this organization in the NPPES registry on August 21, 2023.

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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Lakeside Pharmacy LLC was last updated on August 21, 2023. 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.