Lakeside Discount Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAKESIDE DISCOUNT PHARMACY INC.

Practice address

2515 Route 6
Hawley, PA 18428-7050

Phone

(929) 218-3204

NPI assigned

Aug 26, 2025

Last updated

Aug 26, 2025By 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

Natan Nagarayev

Title

President

Phone

(929) 218-3204

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1891673778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 ROUTE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 ROUTE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287050",
            "telephone_number": "929-218-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DISCOUNT PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "NAGARAYEV",
        "authorized_official_first_name": "NATAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-218-3204"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lords Valley Village Pharmacy Inc

• Community/Retail Pharmacy in Hawley, PA
• Providers in Hawley, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.