LAKE REGIONAL PHARMACY - ELDON
NPI 1780116657
Pharmacy - Community/Retail Pharmacy in Eldon, MO

Active since March 30, 2017
416B S MAPLE ST, ELDON, MO 65026(573) 557-2231(573) 392-5808 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2025, Oct 16, 2023, Dec 6, 2019 and 3 more (6 updates tracked since 2017).

About Lake Regional Pharmacy - Eldon NPPES

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

LAKE REGIONAL PHARMACY - ELDON (NPI 1780116657) is a healthcare organization registered as a community/retail pharmacy in Eldon, Missouri and active in the NPI registry since March 2017. The organization lists Paula Sue Littleton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780116657
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKE REGIONAL HEALTH SYSTEM
Location Address416B S MAPLE STEldon, MO 65026-1812
Mailing AddressPo Box 1560Osage Beach, MO 65065-1560 · (573) 302-3185 · Fax (573) 302-3464
Fax(573) 392-5808
Organization SubpartNo
Authorized OfficialPaula Sue LittletonCfo · (573) 348-8388
Enumeration DateMarch 30, 2017
Last NPPES UpdateJanuary 7, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1780116657 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 MO · 2017025596
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
416B S MAPLE ST, Eldon, MO 65026

Other Names 1

Doing Business AsLake Regional Pharmacy - Eldon

Other Identifiers 2

Medicaid600045506MO
Other2168691Pk

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Lake Regional Pharmacy-Eldon carries, from the Medicare DMEPOS supplier directory.

Lake Regional Pharmacy-Eldon

DMEPOS supplier · Eldon, MOOperated by Lake Regional Medical Management Inc

Does not accept Medicare assignment

Lake Regional Pharmacy-Eldon 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)20417849
Medicare Participant SinceJanuary 1, 2020
Supplier Location416B S Maple StEldon, MO 65026
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
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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.

Pharmacist
416B S MAPLE ST
ELDON, MO 65026

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 Lake Regional Health System's NPI number?

The NPI number for Lake Regional Health System is 1780116657. It was assigned to this organization in the NPPES registry on March 30, 2017. The provider is doing business as Lake Regional Pharmacy - Eldon.

Where is Lake Regional Health System located?

Lake Regional Health System is located at 416B S Maple St, Eldon, MO 65026. The listed phone number is (573) 557-2231.

What is Lake Regional Health System's specialty?

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

Does Lake Regional Health System accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Lake Regional Pharmacy-Eldon 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 Lake Regional Health System 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 Lake Regional Health System 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 Lake Regional Health System was last updated on January 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.