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Lakeside Pharmacy LLC

Community/Retail Pharmacy in Montgomery, TX · enumerated 2010 · authorized official Kim Prezioso, President/Pharm-in-Charge.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013239417

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Pharmacy LLC
Other name <Unavail>
Practice address 16955 Walden Rd Ste 100, Montgomery, TX, 77356
Phone (936) 448-6337
Fax (936) 448-6338
Enumeration date Feb 26, 2010
Last updated in NPPES Aug 3, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 26843 (TX) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Kim Prezioso
Title President/Pharm-in-Charge
Phone (936) 827-3766

Other identifiers

Identifier Type State Issuer
4555186 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lakeside Pharmacy LLC?
NPPES lists Kim Prezioso (President/Pharm-in-Charge) as the authorized official for this organization.
What is the NPI number for Lakeside Pharmacy LLC?
The NPI for Lakeside Pharmacy LLC is 1013239417, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-03.