LAKESIDE PHARMACY LLC (NPI# 1245723725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245723725 |
| Entity Type | Organization |
| Organization Name | LAKESIDE PHARMACY LLC |
| Other Organization Name | LAKESIDE PHARMACY |
| Practice Address |
9615 Sherrill Estates Rd Ste B Huntersville NC 28078-6552 |
| Mailing Address |
9615 Sherrill Estates Rd Suite B Huntersville NC 28078-6552 |
| Practice Telephone | 9804418600 |
| Practice Fax Number | 9804448625 |
| Mailing Telephone | 9804418600 |
| Mailing Fax Number | 9804448625 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | THANVEER REDDY GADWAL (MANAGER) |
| Authorized Official Telephone | 9804418600 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
13756 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177949 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeside Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386119 | Lakeside Pharmacy LLC | Pharmacy | 1960 Mesquite Ave Ste E, Lake Havasu City, AZ 86403-5783 | 2017-10-10 |
| 1477850931 | Lakeside Pharmacy LLC | Pharmacy | 7100 Hwy 93 South, Suite A, Lakeside, MT 59922 | 2011-02-18 |
| 1013239417 | Lakeside Pharmacy LLC | Pharmacy | 16955 Walden Rd Ste 100, Montgomery, TX 77356-3227 | 2010-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LAKESIDE PHARMACY LLC | 233 E 2nd St, Tonasket, WA 98855-9294 |
| Street Address |
9615 SHERRILL ESTATES RD STE B |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-6552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694262 | Thanveer Reddy Gadwal | Pharmacist | 9615 Sherrill Estates Rd Ste B, Huntersville, NC 28078 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215156708 | Walgreen Co. | Pharmacy | 9848 Gilead Rd, Huntersville, NC 28078-7511 | 2007-04-24 |
| 1841373883 | North Carolina Cvs Pharmacy LLC | Pharmacy | 16715 Old Statesville Rd, Huntersville, NC 28078 | 2006-10-23 |
| 1790707354 | North Carolina Cvs Pharmacy LLC | Pharmacy | 9801 Sam Furr Rd, Huntersville, NC 28078-8219 | 2006-07-24 |
| 1336449651 | Fcrx Inc | Pharmacy | 16511 Northcross Dr Ste A, Huntersville, NC 28078-5021 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1871100164 | Pittsboro Pharmacy | Pharmacy | 630 East St Ste 11, Pittsboro, NC 27312-9475 | 2020-09-30 |
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.