NPI age
2 years
Enumerated 2023-08-21
● Active Type 2 · Organization
Lakeside Pharmacy Llc
Lakeside Pharmacy Llc is 1 of 589 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Prezioso
Owner/pic
Last NPPES update
2023-08-21
Source: monthly bulk 2026-05
How this organization compares
Across 589 active pharmacy providers in Texas.
NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-08Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
16955 Walden Rd Ste 100
Montgomery, TX 773563227
Mailing address
16955 Walden Rd Ste 100
Montgomery, TX 773563227
Authorized official
Kim Harrigan Prezioso, BSN, PHARMD
Owner/pic
📞 9364486337
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lakeside Pharmacy LLC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.