Lakeside Pharmacy
Lakeside Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Lake Elsinore, CA, holding Type 2 (organization) NPI 1063527018 since 2006. The authorized official on file is Sharon Hutton, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063527018 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lakeside Pharmacy |
| Practice address | 31681 RIVERSIDE DR, STE D, Lake Elsinore, CA, 92530 |
| Phone | 9512457699 |
| Fax | 9512457721 |
| Enumeration date | 2006-08-20 |
| Last updated in NPPES | 2008-07-08 |
Authorized official
| Name | Sharon Hutton |
|---|---|
| Title | Owner |
| Phone | 9512457699 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY47386 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5623283 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Lakeside Pharmacy NPI: 1063527018 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 31681 RIVERSIDE DR, STE D, Lake Elsinore, CA, 92530
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932253747 | John Devries | Individual | Marriage & Family Therapist | Lake Elsinore, CA |
| 1285788919 | Ruben Lopez | Individual | Marriage & Family Therapist | Lake Elsinore, CA |
| 1891910196 | Paula Harrison | Individual | Marriage & Family Therapist | Lake Elsinore, CA |
| 1861699894 | Ann Shelton-Hinojosa | Individual | Marriage & Family Therapist | Lake Elsinore, CA |
| 1407055015 | Magdalena Ascencio | Individual | Marriage & Family Therapist | Lake Elsinore, CA |
| 1255525465 | Randy Rozar | Individual | Marriage & Family Therapist | Lake Elsinore, CA |
| 1992990519 | Lysette Etti | Individual | Social Worker | Lake Elsinore, CA |
| 1659568285 | Brittany Pinheiro | Individual | Marriage & Family Therapist | Lake Elsinore, CA |
Verify this record
Cross-check NPI 1063527018 against the authoritative CMS record: view Lakeside Pharmacy on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Lakeside Pharmacy?
Who is the authorized official for Lakeside Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-08.