OrganizationActive
Lake Side Pharmacy
NPI 1093078768 · Community/Retail Pharmacy · Cedar Bluff, AL
Lake Side Pharmacy is a Community/Retail Pharmacy organization in Cedar Bluff, AL (NPI 1093078768).
Provider details
- NPI number
- 1093078768
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stephen Wilson, Pharmacist in Charge(844) 236-5360
- License
- 113926 (AL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10005 Al Highway 9 N
Cedar Bluff, AL 35959-2231
Phone: (844) 236-5360
Fax: (866) 609-4582
Approximate (ZIP-level) locationGet directions
Mailing address
10005 Al Highway 9 N
Cedar Bluff, AL 35959-2231
Other names (DBA / former)
- Other name
- Total Life Care Compounding
Registry dates
- Enumerated
- 2012-06-19
- Last updated
- 2017-01-03
Frequently asked questions
- What is Lake Side Pharmacy's NPI number?
- Lake Side Pharmacy's National Provider Identifier (NPI) is 1093078768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Side Pharmacy?
- Lake Side Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lake Side Pharmacy located?
- Lake Side Pharmacy's practice location on file with NPPES is 10005 Al Highway 9 N, Cedar Bluff, AL 35959-2231.
- What is Lake Side Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Lake Side Pharmacy is (844) 236-5360.
- Who is the authorized official for Lake Side Pharmacy?
- The authorized official listed on Lake Side Pharmacy's NPPES record is Stephen Wilson, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Side Pharmacy's NPI active?
- Yes — Lake Side Pharmacy's NPI (1093078768) is active in the NPPES registry as of the last update on 2017-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.