Active NPI
Clayton Pharmacy Services
- Pharmacy
- Strawberry Point, IA
National Provider Identifier
1083985923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 68
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133582 | Other | PK |
Other names 1
- Clayton Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2236651 | Clayton Drug | Certificate of waiver | Sep 19, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Clayton Drug | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Clayton Drug
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Sumner, IA
- NPI 1184995029
-
- Community/Retail Pharmacy
- Elkader, IA
- NPI 1417457656
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.