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

Lakeside Pharmacy LLC

Organization Long Term Care Pharmacy · NPI 1780468884

Lakeside Pharmacy LLC is a Long Term Care Pharmacy in Montgomery, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

16955 Walden Rd Ste 100
Montgomery, TX 77356-3227
Phone: (936) 448-6337
Fax: (936) 448-6338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1780468884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Prezioso — Owner/Pic · (936) 448-6337
Other names Lakeside Pharmacy Llc
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023
Mailing address16955 Walden Rd Ste 100, Montgomery, TX 77356-3227