1. Home
  2. Directory
  3. Oklahoma
  4. Eufaula
  5. Pharmacy
  6. NPI Profile

LAKESIDE PHARMACY
NPI 1295867612
Pharmacy - Community/Retail Pharmacy in Eufaula, OK

Active since March 12, 2007
605 N MAIN ST, EUFAULA, OK 74432(918) 689-9940(918) 689-7557 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeside Pharmacy NPPES

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

LAKESIDE PHARMACY (NPI 1295867612) is a healthcare organization registered as a community/retail pharmacy in Eufaula, Oklahoma and active in the NPI registry since March 2007. The organization lists Darren Tidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1295867612
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHYPERION LLC
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 OfficialDarren TidwellOwner · (918) 689-9940
Enumeration DateMarch 12, 2007
Last NPPES UpdateMay 27, 2015
✔ NPI 1295867612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OK · 48-5526
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 · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
605 N MAIN ST, Eufaula, OK 74432
Open in Google Maps ↗

Other Names 1

Doing Business AsLakeside Pharmacy

Other Identifiers 3

Medicare NSC5720720001
Medicaid200287060AOK
Other2125414Pk

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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
StateOklahomaEnrollment IDO20110819000277DME · PharmacyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.

BENT WILLOW INC
Durable Medical Equipment & Medical Supplies
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 Hyperion LLC's NPI number?

The NPI number for Hyperion LLC is 1295867612. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Lakeside Pharmacy.

Where is Hyperion LLC located?

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

What is Hyperion LLC's specialty?

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

Is Hyperion LLC enrolled in Medicare?

Yes. Hyperion LLC is registered in the Medicare PECOS enrollment system.

When is Hyperion LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oklahoma, Pharmacy) is due for revalidation by March 31, 2027. 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 Hyperion LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 48 other insurers list Hyperion LLC 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 Hyperion LLC was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.