Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1013239417

Lakeside Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Montgomery, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16955 Walden Rd Ste 100
Montgomery, TX 77356-3227
Phone: (936) 448-6337
Fax: (936) 448-6338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 26843 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1013239417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Prezioso — President/Pharm-In-Charge · (936) 827-3766
Other names Lakeside Pharmacy
NPI enumeratedFebruary 26, 2010
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address16955 Walden Rd, Suite 100, Montgomery, TX 77356-3220

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