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EAGLE PHARMACY HIDEAWAY
NPI 1255927703
Pharmacy - Community/Retail Pharmacy in Lindale, TX

Active since December 18, 2020CLIA 45D2184543 · Waiver
14077 FM 849, LINDALE, TX 75771(903) 881-5752(888) 374-1180 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Dec 18, 2020 (2 updates tracked since 2020).

About Eagle Pharmacy Hideaway NPPES

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

EAGLE PHARMACY HIDEAWAY (NPI 1255927703) is a healthcare organization registered as a community/retail pharmacy in Lindale, Texas and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists John A Droblyn, President, as its authorized official.

NPPES Registry Identity

NPI1255927703
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEAGLE PHARMACY HIDEAWAY
Location Address14077 FM 849Lindale, TX 75771-5160
Mailing Address1404 S Main StLindale, TX 75771-6267 · (903) 881-5752
Phone(903) 881-5752
Fax(888) 374-1180
Organization SubpartNo
Authorized OfficialJohn A DroblynPresident · (903) 881-5610
Enumeration DateDecember 18, 2020
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1255927703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
14077 FM 849, Lindale, TX 75771
Open in Google Maps ↗

Other Identifiers 1

Other33566TX · State Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 45D2184543

Eagle Pharmacy · Lindale, TX
Active · expires May 20, 2028
CLIA Number45D2184543
Laboratory TypePharmacy
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorJohn A. Droblyn
Laboratory Phone(903) 881-5752
Laboratory LocationEagle Pharmacy1404 S Main Street, Lindale, TX 75771
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 4

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

Eagle Pharmacy Hideaway

DMEPOS supplier · Lindale, TX
✔

Accepts Medicare assignment

Eagle Pharmacy Hideaway agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20403161
Medicare Participant SinceJanuary 1, 2022
Supplier Location14077 Fm 849Lindale, TX 75771
Phone(903) 881-5610
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
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

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

ELLIOTT PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
14077 FM 849
LINDALE, TX 75771
Smith County (903) 882-3312

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 Eagle Pharmacy Hideaway's NPI number?

The NPI number for Eagle Pharmacy Hideaway is 1255927703. It was assigned to this organization in the NPPES registry on December 18, 2020.

Where is Eagle Pharmacy Hideaway located?

Eagle Pharmacy Hideaway is located at 14077 Fm 849, Lindale, TX 75771. The listed phone number is (903) 881-5752.

What is Eagle Pharmacy Hideaway's specialty?

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

Does Eagle Pharmacy Hideaway accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eagle Pharmacy Hideaway accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Eagle Pharmacy Hideaway hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2184543) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagle Pharmacy Hideaway 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 51 other insurers list Eagle Pharmacy Hideaway 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 Eagle Pharmacy Hideaway was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.