Lyon Drug Store, Inc.
NPI 1942257720ActiveOrganization· Pharmacy· Eddyville, KY
Pharmacy in Eddyville, Kentucky, registered in NPPES in May 2006. The authorized official on file is Edwin Lynn Nickell, RPH., President. Medicare paid $12,349 for services to 66 patients in 2024.
Overview
| NPI | 1942257720 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2006 |
| Last updated in NPPES | Nov 6, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | P00293 | KY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | P00293 | KY |
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) | Enrolled DME Supplier - Pharmacy (KY); Part B Supplier - Independent Clinical Laboratory (KY); Part B Supplier - Mass Immunization (Roster Biller Only) (KY); Part B Supplier - Pharmacy (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 198 across 7 procedure codes |
| Paid by Medicare | $12,349 |