NPIMap

Organization Active NPI

Lyon Drug Store, Inc.

Doing business as McConnell Health Mart (LTC)

  • Long Term Care Pharmacy
  • Kuttawa, KY
National Provider Identifier
1609798040
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LYON DRUG STORE, INC.
Doing business as
McConnell Health Mart (LTC)
Practice address
86 Cedar St
Kuttawa, KY 42055-6287
Phone
(270) 388-7371
Fax
(270) 388-2236
NPI assigned
Jul 28, 2026
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edwin L Nickell, RPH
Title
President
Phone
(270) 388-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

86 Cedar St
Kuttawa, KY 42055-6287

Mailing address

201 W Main St
Eddyville, KY 42038-7752
Phone (270) 388-2236

Other names 1

  • McConnell Health Mart (LTC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lyon Drug Store Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

86 Cedar St
Kuttawa, KY 42055
Phone (270) 388-7371

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1609798040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420387752",
            "telephone_number": "270-388-2236",
            "fax_number": "270-388-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CEDAR ST",
            "city": "KUTTAWA",
            "state": "KY",
            "postal_code": "420556287",
            "telephone_number": "270-388-7371",
            "fax_number": "270-388-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYON DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-388-2236",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McConnell Health Mart (LTC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kuttawa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.