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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LYON DRUG STORE, INC.
NPI 1609798040
Pharmacy - Long Term Care Pharmacy in Kuttawa, KY

Active since July 28, 2026CLIA 18D2183974 · Waiver
86 CEDAR ST, KUTTAWA, KY 42055(270) 388-7371(270) 388-2236 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Lyon Drug Store, Inc. NPPES

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

LYON DRUG STORE, INC. (NPI 1609798040), doing business as Mcconnell Health Mart (ltc), is a healthcare organization registered as a long term care pharmacy in Kuttawa, Kentucky and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Edwin L Nickell, President, as its authorized official.

NPPES Registry Identity

NPI1609798040
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLYON DRUG STORE, INC.
Location Address86 CEDAR STKuttawa, KY 42055-6287
Mailing Address201 W Main StEddyville, KY 42038-7752 · (270) 388-2236 · Fax (270) 388-0900
Phone(270) 388-7371
Fax(270) 388-2236
Organization SubpartNo
Authorized OfficialEdwin L NickellPresident · (270) 388-2236
Enumeration DateJuly 28, 2026
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1609798040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
86 CEDAR ST, Kuttawa, KY 42055
Open in Google Maps ↗

Other Names 1

Doing Business AsMcconnell Health Mart (ltc)

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 18D2183974

Lyon Drug Store · Eddyville, KY
Active · expires May 12, 2028
CLIA Number18D2183974
Laboratory TypePharmacy
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorMr. Edwin L. Nickell
Laboratory Phone(270) 388-2236
Laboratory LocationLyon Drug Store201 W Main St, Eddyville, KY 42038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

HERBERT WAYNE RICE RPH
Pharmacist
86 CEDAR ST
KUTTAWA, KY 42055
Lyon County (270) 388-7371
LYON DRUG STORE INC
Pharmacy (Community/Retail Pharmacy)
86 CEDAR ST
KUTTAWA, KY 42055
Lyon County (270) 388-7371

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 Drug Store, Inc.'s NPI number?

The NPI number for Lyon Drug Store, Inc. is 1609798040. It was assigned to this organization in the NPPES registry on July 28, 2026. The provider is doing business as McConnell Health Mart (LTC).

Where is Lyon Drug Store, Inc. located?

Lyon Drug Store, Inc. is located at 86 Cedar St, Kuttawa, KY 42055. The listed phone number is (270) 388-7371.

What is Lyon Drug Store, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Lyon Drug Store, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2183974) is associated with this NPI, valid through May 12, 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 Lyon Drug Store, Inc. was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.