Hyperion, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

48-5526 Issued in OK

Legal business name

HYPERION, LLC

Doing business as

Lakeside Pharmacy

Practice address

605 N Main St
Eufaula, OK 74432-1634

Phone

(918) 689-9940

Fax

(918) 689-7557

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darren Tidwell, DPH

Title

Owner

Phone

(918) 689-9940

Specialties & licenses 2

Addresses

Other names 1

• Lakeside Pharmacy Doing business as

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1740507334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321634",
            "telephone_number": "918-689-9940",
            "fax_number": "918-689-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321634",
            "telephone_number": "918-689-9940",
            "fax_number": "918-689-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-689-9940",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "48-5526",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "48-5526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Hope Howell, RN
• Douglas H. Huber, P.A.
• Shryl Delese Hulme
• Terri Hunter
• Hyperion LLC (Lakeside Pharmacy)
• Amanda J Iskey, APRN-CNP
• Jeay Medical Services (Epic Medical Center)
• Brenda Johnson, C-CHW
• Cora Johnson
• Amanda Dawn Jones

• Community/Retail Pharmacy in Eufaula, OK
• Providers in Eufaula, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.