Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeside Memorial Hospital Inc

Institutional Pharmacy in Brockport, NY · enumerated 2006 · authorized official Christopher Dailey, Director Fo Pharmacy.

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

National Provider Identifier

1225071566

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Memorial Hospital Inc

Other name <Unavail>

Practice address 156 West Ave, Brockport, NY, 14420

Phone (585) 395-6043

Fax (585) 395-6022

Enumeration date Jun 14, 2006

Last updated in NPPES Jan 7, 2013

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Secondary

3336I0012X Institutional Pharmacy Suppliers · License 012799 (NY) Primary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Christopher Dailey

Title Director Fo Pharmacy

Phone (585) 395-6043

Other identifiers

Identifier	Type	State	Issuer
00279543	Medicaid	NY	-
3349037	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

Where is Lakeside Memorial Hospital Inc located?

The practice location on file with NPPES is in Brockport, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-07. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-07.