Organization Active NPI

Clayton Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Clayton, OK
National Provider Identifier
1164578902
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
534300 Issued in OK
Legal business name
CLAYTON PHARMACY
Practice address
102 Lawson Blvd
Clayton, OK 74536-0517
Phone
(918) 569-4884
Fax
(918) 569-4660
NPI assigned
Jan 26, 2007
Last updated
Mar 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Mr. Jeffrey S Yanchick, MPH DPHNPI 1225751217
Title
Owner/Pic
Phone
(918) 569-4884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 534300 OK Primary

Addresses

Primary practice location

102 Lawson Blvd
Clayton, OK 74536-0517

Mailing address

102 Lawson Blvd
Clayton, OK 74536-0517
Phone (918) 569-4884

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1164578902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LAWSON BLVD",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "745360517",
            "telephone_number": "918-569-4884",
            "fax_number": "918-569-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LAWSON BLVD",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "745360517",
            "telephone_number": "918-569-4884",
            "fax_number": "918-569-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "YANCHICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "918-569-4884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "534300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.