Active NPI
John Clyde
- Pharmacist
- Junction City, KS
National Provider Identifier
1003206269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-15421
- Practice address
- 521 E Chestnut St
Junction City, KS 66441-9410 - Phone
- (785) 238-1118
- Fax
- (785) 238-6323
- NPI assigned
- Jan 27, 2015
- Reactivated
- May 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-15421 | KS | Primary |
Addresses
Primary practice location
521 E Chestnut St
Junction City, KS 66441-9410
Mailing address
521 E Chestnut St
Junction City, KS 66441-9410
Phone (785) 238-1118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-15421 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1003206269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E CHESTNUT ST",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664419410",
"telephone_number": "785-238-1118",
"fax_number": "785-238-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E CHESTNUT ST",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664419410",
"telephone_number": "785-238-1118",
"fax_number": "785-238-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLYDE",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"deactivation_date": "2026-05-28",
"reactivation_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.