OrganizationActive
Lakeside Pharmacy LLC
NPI 1780468884 · Long Term Care Pharmacy · Montgomery, TX
Lakeside Pharmacy LLC is a Long Term Care Pharmacy organization in Montgomery, TX (NPI 1780468884).
Provider details
- NPI number
- 1780468884
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kim Prezioso, Owner/Pic(936) 448-6337
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
16955 Walden Rd Ste 100
Montgomery, TX 77356-3227
Phone: (936) 448-6337
Fax: (936) 448-6338
Street-level locationGet directions
Mailing address
16955 Walden Rd Ste 100
Montgomery, TX 77356-3227
Other names (DBA / former)
- Doing business as
- Lakeside Pharmacy LLC
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Frequently asked questions
- What is Lakeside Pharmacy LLC's NPI number?
- Lakeside Pharmacy LLC's National Provider Identifier (NPI) is 1780468884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Pharmacy LLC?
- Lakeside Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Lakeside Pharmacy LLC located?
- Lakeside Pharmacy LLC's practice location on file with NPPES is 16955 Walden Rd Ste 100, Montgomery, TX 77356-3227.
- What is Lakeside Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Pharmacy LLC is (936) 448-6337.
- Who is the authorized official for Lakeside Pharmacy LLC?
- The authorized official listed on Lakeside Pharmacy LLC's NPPES record is Kim Prezioso, Owner/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Pharmacy LLC's NPI active?
- Yes — Lakeside Pharmacy LLC's NPI (1780468884) is active in the NPPES registry as of the last update on 2023-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.