Lakeside Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20646 Issued in AR

Legal business name

LAKESIDE PHARMACY INC.

Doing business as

Lakeside Pharmacy Inc.

Practice address

998 Shady Grove Rd Unit 1-H
Hot Springs, AR 71901-8094

Phone

(501) 262-5400

Fax

(501) 262-5404

NPI assigned

Apr 4, 2011

Last updated

Mar 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David E Lechak, PDNPI 1710565452

Title

President

Phone

(501) 262-5400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lakeside Pharmacy Inc. Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Lechak

  • Pharmacist
  • Hot Springs, AR
  • NPI 1710565452
  NPD (past) Authorized official
• Sharay Lovett Durbin, PHARMD

  • Pharmacist
  • Hot Springs, AR
  • NPI 1255919437
  NPD
• Domonique Deshea Wadley, PHARMD

  • Pharmacist
  • Hot Springs, AR
  • NPI 1023636610
  NPD
• Robert F Cockerill

  • Pharmacist
  • Hot Springs, AR
  • NPI 1982287975
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1801185574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 SHADY GROVE RD STE 1H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018094",
            "telephone_number": "501-262-5400",
            "fax_number": "501-262-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 SHADY GROVE RD UNIT 1-H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018094",
            "telephone_number": "501-262-5400",
            "fax_number": "501-262-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "LECHAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-262-5400",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186438407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jill Lacomfora, SLP, CCC
• Brittany Lacy, CNP
• Jacqueline P Lacy, MS, LPC
• Christine Lai, MD
• Lake Hamilton Family Chiropractic PLLC (Lake Hamilton Family and Sports Chiropractic)
• Lakeside School District
• Lakeside Walk-in Clinic PLLC
• Lakewood Healthcare, Inc.
• Lakewood Therapy and Living Center Opco LLC (Lakewood Therapy And Living Center)
• Virginia Arlette Laliberte, APRN

• Community/Retail Pharmacy in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.