Active NPI
Keyes' Compounding & Specialty Drug
- Community/Retail Pharmacy
- Elk City, OK
National Provider Identifier
1164701645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KEYES' COMPOUNDING & SPECIALTY DRUG
- Practice address
- 1602 W 3Rd St
Elk City, OK 73644-5114 - Phone
- (580) 225-5273
- Fax
- (580) 303-4483
- NPI assigned
- Aug 15, 2011
- 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
- Dr. Suzanne Hutton Keyes, PHARMD
- Title
- Pharmd/Owner
- Phone
- (580) 799-1499
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1602 W 3Rd St
Elk City, OK 73644-5114
Mailing address
1602 W 3Rd St
Elk City, OK 73644-5114
Phone (580) 225-5273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200473740B | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Keyes Compounding Specialy Drug
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Erick, OK
- NPI 1366782047
Locations
1602 W 3rd St
Elk City, OK 73644
Phone (580) 225-5273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elk City, OK
- NPI 1013309632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635897600000",
"number": "1164701645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 W 3RD ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445114",
"telephone_number": "580-225-5273",
"fax_number": "580-303-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W 3RD ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445114",
"telephone_number": "580-225-5273",
"fax_number": "580-303-4483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYES' COMPOUNDING & SPECIALTY DRUG",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-15",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A",
"authorized_official_last_name": "KEYES",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "HUTTON",
"authorized_official_title_or_position": "PHARMD/OWNER",
"authorized_official_telephone_number": "580-799-1499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200473740B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.