LYON PHARMACY INC
NPI 1205308053
Pharmacy - Community/Retail Pharmacy in Lyons, KS

Q: What is Lyon Pharmacy Inc's NPI number?

The NPI number for Lyon Pharmacy Inc is 1205308053. It was assigned to this organization in the NPPES registry on December 18, 2018.

Q: What is Lyon Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Lyon Pharmacy Inc was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 18, 2018

921 W MAIN ST, LYONS, KS 67554(620) 509-2169(620) 509-2184 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2026, Oct 22, 2021, Feb 17, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Lyon Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYON PHARMACY INC (NPI 1205308053) is a healthcare organization registered as a community/retail pharmacy in Lyons, Kansas and active in the NPI registry since December 2018. The organization lists Lance Freeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1205308053

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLYON PHARMACY INC

Location Address921 W MAIN STLyons, KS 67554-1708

Mailing AddressPo Box 167Lyons, KS 67554-0167 · (620) 509-2169 · Fax (620) 509-2184

Phone(620) 509-2169

Fax(620) 509-2184

Organization SubpartNo

Authorized OfficialLance FreemanOwner · (620) 509-2169

Enumeration DateDecember 18, 2018

Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1205308053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

921 W MAIN ST, Lyons, KS 67554

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Other Identifiers 1

Other2-108251KS · Kansas State Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyon Pharmacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKansasEnrollment IDO20190507001148DME · PharmacyDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

26 services26 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

25 services25 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLYN RAYE HAMMER

Pharmacist

921 W MAIN ST
LYONS, KS 67554

Rice County (620) 509-2169

ALEXA BROCKEL

Pharmacist

921 W MAIN ST
LYONS, KS 67554

Rice County (620) 509-2169

LYON PHARMACY INC

Pharmacy (Long Term Care Pharmacy)

921 W MAIN ST
LYONS, KS 67554

Rice County (620) 509-2169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyon Pharmacy Inc's NPI number?

The NPI number for Lyon Pharmacy Inc is 1205308053. It was assigned to this organization in the NPPES registry on December 18, 2018.

Where is Lyon Pharmacy Inc located?

Lyon Pharmacy Inc is located at 921 W Main St, Lyons, KS 67554. The listed phone number is (620) 509-2169.

What is Lyon Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Lyon Pharmacy Inc enrolled in Medicare?

Yes. Lyon Pharmacy Inc is registered in the Medicare PECOS enrollment system.

When is Lyon Pharmacy Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kansas, Pharmacy) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Lyon Pharmacy Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 37 other insurers list Lyon Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lyon Pharmacy Inc was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.