Active NPI
Jeremy Classo, PHARMD
- Pharmacist
- Ardmore, OK
National Provider Identifier
1093550170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20648
- Practice address
- 1220 N Commerce St
Ardmore, OK 73401-1806 - Phone
- (580) 223-1041
- NPI assigned
- Jun 28, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 20648 | OK | Primary |
Addresses
Primary practice location
1220 N Commerce St
Ardmore, OK 73401-1806
Mailing address
6475 36TH Ave NW Apt 412
Norman, OK 73072-1328
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20648 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Ardmore, OK
- NPI 1114021946
-
- Pharmacy
- Enid, OK
- NPI 1407278260
-
- Pharmacy
- Norman, OK
- NPI 1487974580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1093550170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6475 36TH AVE NW APT 412",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011806",
"telephone_number": "580-223-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLASSO",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-28",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "20648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.