Organization Active NPI

Clayton Pharmacy Services

  • Pharmacy
  • Strawberry Point, IA
National Provider Identifier
1083985923
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
68 Issued in IA
Legal business name
CLAYTON PHARMACY SERVICES
Doing business as
Clayton Drug
Practice address
104 W Mission St
Strawberry Point, IA 52076-4400
Phone
(563) 933-4762
Fax
(563) 933-9909
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Christopher Clayton
Title
Treasurer/Secretary
Phone
(319) 939-2569

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 68 IA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

104 W Mission St
Strawberry Point, IA 52076-4400

Mailing address

104 W Mission St
Strawberry Point, IA 52076-4400
Phone (563) 933-4762

Other identifiers 1

IdentifierTypeStateIssuer
2133582OtherPK

Other names 1

  • Clayton Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120626000571 IA DME Supplier - Pharmacy 8426212879 Practice locations: Strawberry Point, IA
O20130122000042 IA Part B Supplier - Mass Immunization (Roster Biller Only) 8426212879 1 other NPI on this enrollment
Practice locations: Strawberry Point, IA; Sumner, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2236651Clayton Drug104 West Mission Street, Strawberry Point, IA 52076Certificate of waiverSep 19, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Clayton Drug104 W Mission St, Strawberry Point, IA 52076-4400(563) 933-4762 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Apr 30, 2012

National Provider Directory

National Provider Directory
Tax ID family
Clayton Drug3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1083985923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MISSION ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "520764400",
            "telephone_number": "563-933-4762",
            "fax_number": "563-933-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MISSION ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "520764400",
            "telephone_number": "563-933-4762",
            "fax_number": "563-933-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "TREASURER/SECRETARY",
        "authorized_official_telephone_number": "319-939-2569"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "68",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Strawberry Point, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.