Lyon Drug Store, Inc.
Pharmacy
201 Main St, Eddyville
Kentucky, 42038-7752
270-388-2236 270-388-0900
Lyon Drug Store, Inc. is a Pharmacy in Eddyville, Kentucky. It is located at 201 Main St, Eddyville and it's customer support contact number is 270-388-2236. The authorized person of Lyon Drug Store, Inc. is Mr. Edwin Lynn Nickell, RPH. who is President of the pharmacy and his contact number is 270-388-2236. Active license number of Lyon Drug Store, Inc. is P00293 for Pharmacy in Kentucky. Lyon Drug Store, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lyon Drug Store, Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Lyon Drug Store, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lyon Drug Store, Inc. |
| Type: | Pharmacy |
| Location: | 201 Main St, Eddyville,
Kentucky, 42038-7752 |
| Phone: | 270-388-2236 |
| Fax: | 270-388-0900 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Edwin Lynn Nickell |
| Credentials: | RPH. |
| Position: | President |
| Contact Number: | 270-388-2236 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1942257720 |
| NPI Enumeration Date: | 27 May, 2006 |
| NPI Last Update On: | 06 Nov, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lyon Drug Store, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | P00293 | Kentucky | Primary | |
| Durable Medical Equipment & Medical Supplies | P00293 | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1801958 | Other | | Nabp # |
| 90040726 | Medicaid | Kentucky | |
| 54032735 | Medicaid | Kentucky | |
Medicare Enrollment:
Lyon Drug Store, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1557489473 | O20100930064577 | Lyon Drug Store, Inc. | DME SUPPLIER - PHARMACY |
| 1557489473 | O20131121001099 | Lyon Drug Store, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Lyon Drug Store, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Seat Lift Mechanisms |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 201 Main St,
Eddyville, Kentucky |
| Zip: | 42038-7752 |
| Phone Number: | 270-388-2236 |
| Fax Number: | 270-388-0900 |
Patients can reach Lyon Drug Store, Inc. at
201 Main St, Eddyville, Kentucky or can
call on customer care at 270-388-2236.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.