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LAKESIDE PHARMACY
NPI 1215079595
Durable Medical Equipment & Medical Supplies in Eufaula, OK

Active since February 13, 2007CLIA 37D2250485 · Waiver
605 N MAIN ST, EUFAULA, OK 74432(918) 689-9940(918) 689-7557 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Pharmacy NPPES

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

LAKESIDE PHARMACY (NPI 1215079595) is a healthcare organization registered as a durable medical equipment & medical supplies in Eufaula, Oklahoma and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Larry Hoffman, President, as its authorized official.

NPPES Registry Identity

NPI1215079595
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBENT WILLOW INC
Location Address605 N MAIN STEufaula, OK 74432-1634
Mailing Address605 N Main StEufaula, OK 74432-1634 · (918) 689-9940 · Fax (918) 689-7557
Phone(918) 689-9940
Fax(918) 689-7557
Organization SubpartNo
Authorized OfficialLarry HoffmanPresident · (918) 689-9940
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215079595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
605 N MAIN ST, Eufaula, OK 74432
Open in Google Maps ↗

Other Names 1

Doing Business AsLakeside Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2250485

Lakeside Pharmacy · Eufaula, OK
Active · expires Jan 26, 2028
CLIA Number37D2250485
Laboratory TypePharmacy
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorJames A. Dixon
Laboratory Phone(918) 689-9940
Laboratory LocationLakeside Pharmacy605 N Main St, Eufaula, OK 74432
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 39

Medicare supplier enrollment and the product categories Lakeside Pharmacy carries, from the Medicare DMEPOS supplier directory.

Lakeside Pharmacy

DMEPOS supplier · Eufaula, OKOperated by Hyperion LLC
⋮

Does not accept Medicare assignment

Lakeside Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20529287
Medicare Participant SinceJune 27, 2011
Supplier Location605 N Main StEufaula, OK 74432
Phone(918) 689-9940
Provider TypeOxygen & Equipment
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

HYPERION LLC
Pharmacy (Community/Retail Pharmacy)
605 N MAIN ST
EUFAULA, OK 74432
McIntosh County (918) 689-9940
LARRY D HOFFMAN
Pharmacist
605 N MAIN ST
EUFAULA, OK 74432
McIntosh County (918) 689-9940
HYPERION, LLC
Pharmacy (Community/Retail Pharmacy)
605 N MAIN ST
EUFAULA, OK 74432
McIntosh County (918) 689-9940

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 Bent Willow Inc's NPI number?

The NPI number for Bent Willow Inc is 1215079595. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Lakeside Pharmacy.

Where is Bent Willow Inc located?

Bent Willow Inc is located at 605 N Main St, Eufaula, OK 74432. The listed phone number is (918) 689-9940.

What is Bent Willow Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Bent Willow Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Lakeside Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Bent Willow Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2250485) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bent Willow Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.