Lake Shore Drugs LLC
NPI 1518328038ActiveOrganization· Pharmacy· Pasadena, MD
Pharmacy in Pasadena, Maryland, registered in NPPES in March 2016. The authorized official on file is Shalendra Cherukuri, Member. Medicare paid $8,857 for services to 48 patients in 2024.
Overview
| NPI | 1518328038 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2016 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | P07151 | MD |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 128 across 8 procedure codes |
| Paid by Medicare | $8,857 |
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