Lake Regional Health System
NPI 1780116657ActiveOrganization· Pharmacy, Community/Retail Pharmacy· Eldon, MO
Pharmacy, Community/Retail Pharmacy in Eldon, Missouri, registered in NPPES in March 2017. The authorized official on file is Paula Sue Littleton, Cfo.
Overview
| NPI | 1780116657 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2017 |
| Last updated in NPPES | Jan 7, 2025 |
| Certified by provider | Jan 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Community/Retail Pharmacy Primary | 3336C0003X | 2017025596 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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