EASTSIDE PHARMACY
NPI 1215958285
Pharmacy - Community/Retail Pharmacy in Lawton, OK

Active since July 22, 2006
3612 SE LEE BLVD, LAWTON, OK 73501(580) 355-6400(580) 355-0451 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Pharmacy NPPES

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

EASTSIDE PHARMACY (NPI 1215958285) is a healthcare organization registered as a community/retail pharmacy in Lawton, Oklahoma and active in the NPI registry since July 2006. The organization lists J Brennan, Partner Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1215958285
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEASTSIDE CLINIC PHARMACY
Location Address3612 SE LEE BLVDLawton, OK 73501-8451
Mailing Address3612 Se Lee BlvdLawton, OK 73501-8451 · (580) 355-6400 · Fax (580) 355-0451
Fax(580) 355-0451
Organization SubpartNo
Authorized OfficialJ BrennanPartner Pharmacist In Charge · (580) 355-6400
Enumeration DateJuly 22, 2006
Last NPPES UpdateJune 7, 2016
NPI 1215958285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in OK · 36455
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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
3612 SE LEE BLVD, Lawton, OK 73501

Other Names 1

Doing Business AsEastside Pharmacy

Other Identifiers 3

Medicare NSC4930460001
Other2076429Pk
Medicaid100247000AOK

Accepted Insurance

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.
101 services101 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.
81 services81 patients

Medical Equipment Supplier Medicare DMEPOS 12

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

Eastside Pharmacy

DMEPOS supplier · Lawton, OKOperated by Eastside Clinic Pharmacy

Does not accept Medicare assignment

Eastside 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)20599643
Medicare Participant SinceJuly 26, 2003
Supplier Location3612 SE Lee BlvdLawton, OK 73501
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.

Pharmacist
3612 SE LEE BLVD
LAWTON, OK 73501
Pharmacy (Long Term Care Pharmacy)
3612 SE LEE BLVD
LAWTON, OK 73501
Pharmacist
3612 SE LEE BLVD
LAWTON, OK 73501

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 Eastside Clinic Pharmacy's NPI number?

The NPI number for Eastside Clinic Pharmacy is 1215958285. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Eastside Pharmacy.

Where is Eastside Clinic Pharmacy located?

Eastside Clinic Pharmacy is located at 3612 SE Lee Blvd, Lawton, OK 73501. The listed phone number is (580) 355-6400.

What is Eastside Clinic Pharmacy's specialty?

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

Does Eastside Clinic Pharmacy accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Eastside 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.

What insurance does Eastside Clinic Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Eastside Clinic Pharmacy 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 Eastside Clinic Pharmacy was last updated on June 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.