CKS Healthcare /Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30892 Issued in TX

Legal business name

CKS HEALTHCARE /INC.

Doing business as

Lakeside Pharmacy South

Practice address

4151 Jaime Zapata Memorial Hwy Ste 208
Laredo, TX 78043-4782

Phone

(956) 724-2090

Fax

(956) 724-2170

NPI assigned

Aug 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yvonne Compean

Title

Pharmacy Manager

Phone

(956) 724-2090

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lakeside Pharmacy South Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1083080162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 JAIME ZAPATA MEMORIAL HWY STE 208",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434782",
            "telephone_number": "956-724-2090",
            "fax_number": "956-724-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 JAIME ZAPATA MEMORIAL HWY STE 208",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434782",
            "telephone_number": "956-724-2090",
            "fax_number": "956-724-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKS HEALTHCARE /INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "COMPEAN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "956-724-2090"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164466",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Pharmacy South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvonne Denetre Cisneros, M.S., CCC- SLP
• City of Laredo (City of Laredo Fire Department)
• City of Laredo (City of Laredo Health Department)
• City of Laredo (City of Laredo Detox Center)
• City of Laredo Health Department Dental Clinic
• Classic Medicine PLLC (Veritas Primary & Urgent Care)
• Claudia's Home Care Provider, LLC
• Clear Choice ER, LLC (Clear Choice ER)
• Clear Choice Laredo Hospital Physicians Group
• Clear Choice Physician Group

• Community/Retail Pharmacy in Laredo, TX
• Providers in Laredo, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.