Telos Compounding Solutions LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TELOS COMPOUNDING SOLUTIONS LLC

Practice address

701 N Mustang Rd Ste C
Yukon, OK 73099-5671

Phone

(405) 706-0079

NPI assigned

Sep 17, 2025

Organization subpart

No

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

Authorized official

Name

Jacoby Gray, PHARMDNPI 1003432337

Title

Managing Member

Phone

(405) 706-0079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacoby Gray, PHARD

  • Pharmacist
  • El Reno, OK
  • NPI 1003432337
  NPD Authorized official

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1073484523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MUSTANG RD STE C",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995671",
            "telephone_number": "405-706-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MUSTANG RD STE C",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995671",
            "telephone_number": "405-706-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS COMPOUNDING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JACOBY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-706-0079",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Taylor, PA
• Bryan Ray Taylor, D.D.S.
• Erica Taylor
• Levi Jack Taylor
• Stephanie L Taylor, MD
• Telos Wellness and Vitality LLC
• Carolyn Terrell, COTA
• Patricia Gayle Teter, M.S.;CCC/SLP-L
• Larry Ray Tevebaugh Jr., NURSE PRACTITIONER
• Brian Emil Thatcher, M.D.

• Community/Retail Pharmacy in Yukon, OK
• Providers in Yukon, 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 Sep 17, 2025; 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.