Lakeside Pharmacy LLC
Lakeside Pharmacy LLC is a healthcare organization registered as Long Term Care Pharmacy in Montgomery, TX, holding Type 2 (organization) NPI 1780468884 since 2023. The authorized official on file is Kim Prezioso, Owner/Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780468884 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lakeside Pharmacy LLC |
| Practice address | 16955 WALDEN RD STE 100, Montgomery, TX, 77356 |
| Phone | 9364486337 |
| Fax | 9364486338 |
| Enumeration date | 2023-08-21 |
| Last updated in NPPES | 2023-08-21 |
Authorized official
| Name | Kim Prezioso |
|---|---|
| Title | Owner/Pic |
| Phone | 9364486337 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Lakeside Pharmacy LLC NPI: 1780468884 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 16955 WALDEN RD STE 100, Montgomery, TX, 77356
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013239417 | Lakeside Pharmacy LLC | Organization | Community/Retail Pharmacy | Montgomery, TX |
Verify this record
Cross-check NPI 1780468884 against the authoritative CMS record: view Lakeside Pharmacy LLC 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
Where is Lakeside Pharmacy LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-21.