LAKESIDE PHARMACY – Community/Retail Pharmacy, NPI 1215979885

LAKESIDE PHARMACY is a healthcare provider. based in Cullman, Alabama. specializing in Community/Retail Pharmacy. The organization holds a License No. 111500 (AL). The NPI Number for LAKESIDE PHARMACY is 1215979885

Main info

Organization
Name
LAKESIDE PHARMACY
NPI
1215979885
Phone
Not provided
Address
PO BOX 789
Authorized Official
CHARLOTTE EDMONDSON OWNER AND PHARMACIST PHARMD
Enumeration Date
11 June 2006
Last Update Date
19 August 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for LAKESIDE PHARMACY

  • PO BOX 789

    CULLMAN, AL 350560789

    Phone:

    Type: Mailing

  • 445 AL HIGHWAY 69 S STE D

    HANCEVILLE, AL 350773437

    Phone: (256) 287-9099

    Fax: (256) 287-2817

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35056)

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Reviews

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Frequently asked questions

Can I verify LAKESIDE PHARMACY with an NPI only?
You can start verification with NPI 1215979885 for LAKESIDE PHARMACY, then check state licensing separately.
Does the file indicate LAKESIDE PHARMACY is practicing under active NPI?
Directory data currently reports LAKESIDE PHARMACY as active.
What taxonomy line describes LAKESIDE PHARMACY?
For research purposes, treat LAKESIDE PHARMACY as Community/Retail Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
Where is LAKESIDE PHARMACY based?
LAKESIDE PHARMACY is tied to Cullman, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about LAKESIDE PHARMACY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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