{"result_count":1,"results":[{"addresses":[{"address_1":"16955 WALDEN RD STE 100","address_purpose":"LOCATION","address_type":"DOM","city":"MONTGOMERY","country_code":"US","country_name":"United States","fax_number":"936-448-6338","postal_code":"773563227","state":"TX","telephone_number":"936-448-6337"},{"address_1":"16955 WALDEN RD","address_2":"SUITE 100","address_purpose":"MAILING","address_type":"DOM","city":"MONTGOMERY","country_code":"US","country_name":"United States","fax_number":"936-448-6338","postal_code":"773563220","state":"TX","telephone_number":"936-448-6337"}],"basic":{"authorized_official_first_name":"KIM","authorized_official_last_name":"PREZIOSO","authorized_official_telephone_number":"9368273766","authorized_official_title_or_position":"President/Pharm-in-Charge","certification_date":"2026-08-03","enumeration_date":"2010-02-26","last_updated":"2026-08-03","organization_name":"LAKESIDE PHARMACY LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1267166293000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"4555186","issuer":"NCPDP Provider Identification Number","state":null}],"last_updated_epoch":"1785794414000","number":"1013239417","other_names":[{"code":"3","organization_name":"LAKESIDE PHARMACY","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"332B00000X","desc":"Durable Medical Equipment & Medical Supplies","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"333600000X","desc":"Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336C0003X","desc":"Pharmacy, Community/Retail Pharmacy","license":"26843","primary":true,"state":"TX","taxonomy_group":""},{"code":"3336C0004X","desc":"Pharmacy, Compounding Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""}]}]}