LAKESIDE PHARMACY LLC (NPI# 1477850931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477850931 |
| Entity Type | Organization |
| Organization Name | LAKESIDE PHARMACY LLC |
| Other Organization Name | LAKESIDE PHARMACY |
| Practice Address |
7100 Hwy 93 South, Suite A Lakeside MT 59922 |
| Mailing Address |
Po Box 459 Lakeside MT 59922-0459 |
| Practice Telephone | 4068440777 |
| Practice Fax Number | 4068440776 |
| Mailing Telephone | 4068440777 |
| Mailing Fax Number | 4068440776 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | CHERYL CATTANEO (PHARMACIST-IN-CHARGE/MANAGER) |
| Authorized Official Telephone | 4068440777 |
| 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 |
1326 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2783721 | 01 |
| Other Name | Type Code |
|---|---|
| LAKESIDE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723725 | Lakeside Pharmacy LLC | Pharmacy | 9615 Sherrill Estates Rd Ste B, Huntersville, NC 28078-6552 | 2018-06-11 |
| 1609386119 | Lakeside Pharmacy LLC | Pharmacy | 1960 Mesquite Ave Ste E, Lake Havasu City, AZ 86403-5783 | 2017-10-10 |
| 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 |
7100 HWY 93 SOUTH, SUITE A |
| City | LAKESIDE |
| State | MT |
| Zip Code | 59922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033519434 | Grace Matheson | Massage Therapist | 7176 Hwy 93, Lakeside, MT 59922 | 2014-09-04 |
| 1215267752 | Lakeside Chiropractic Clinic PC | Chiropractor | 7176 Hwy 93 S, Lakeside, MT 59922 | 2010-01-06 |
| 1154506889 | Douglas Arthur Crumb | Denturist | 6420 Hwy 93 S., Lakeside, MT 59922 | 2007-12-31 |
| 1336288455 | Benjamin David Bushnell | Dentist | 150 Bills Rd, Lakeside, MT 59922 | 2007-02-05 |
| 1457401895 | Susan Kinkade Antley | Chiropractor | 7176 Highway 93 South, Lakeside, MT 59922 | 2007-01-10 |
| 1851454003 | James A Pickard | Optometrist | 254 Bridger Rd. S, Lakeside, MT 59922 | 2006-12-19 |
| 1205875978 | Lakeside Qru, Inc | Ambulance | 201 Bills Rd, Lakeside, MT 59922 | 2006-06-06 |
| 1518365170 | Kimberly Rae Ring | Specialist/Technologist, Other | 52 Shelter Cove, Lakeside, MT 59922-0623 | 2014-12-15 |
| 1134333719 | Frank Brisendine | Denturist | Lakeside Denture Studio, 6420 Hwy 93 South, Lakeside, MT 59922-0728 | 2007-05-10 |
| 1538225354 | Richard Xavier Fleming | Obstetrics & Gynecology | 166 Troutbeck Rd., Lakeside, MT 59922-1067 | 2006-12-28 |
| Find all providers in zip 59922 | ||||
| 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 |
|---|---|---|---|---|
| 1023630662 | Pharm406 Inc | Pharmacy | 1410 38th St W Ste A, Billings, MT 59102-7552 | 2020-05-16 |
| 1710521679 | Billmont Rx, LLC | Pharmacy | 1603 Grand Ave Ste 250, Billings, MT 59102-3000 | 2019-11-04 |
| 1235636689 | Daniel Patrick Doran | Pharmacy | 590 Stockett Rd, Sand Coulee, MT 59472-9745 | 2018-04-11 |
| 1477069193 | 406 Rx Pllc | Pharmacy | 117 N Main St Ste A, Three Forks, MT 59752-9013 | 2017-12-18 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1679977433 | Superior Specialty Pharmacy of Montana, LLC | Pharmacy | 20 Four Mile Dr Ste 4, Kalispell, MT 59901-2644 | 2014-10-22 |
| 1134439797 | Kc Western Drug | Pharmacy | 105 E 1st, Clyde Park, MT 59018-0000 | 2010-10-18 |
| 1669795647 | Broadus Foods, Inc | Pharmacy | 120 S Park Avenue, Broadus, MT 59317-0549 | 2010-03-05 |
| 1316135940 | Rosauers Supermarkets Inc | Pharmacy | 3255 Technology Blvd W, Bozeman, MT 59718-6854 | 2007-10-09 |
| Find all providers with the same taxonomy | ||||
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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.