Active NPI
Clayton Pharmacy
- Durable Medical Equipment & Medical Supplies
- Clayton, OK
National Provider Identifier
1164578902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 534300
- 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, 2017
- 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
- Mr. Jeffrey S Yanchick, MPH DPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pharmacist
- Clayton, OK
- NPI 1225751217
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.