Organization Active NPI

Clayton Pharmacy Services

Doing business as Clayton Drug

  • Pharmacy
  • Sumner, IA
National Provider Identifier
1184995029
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
43 Issued in IA
Legal business name
CLAYTON PHARMACY SERVICES
Doing business as
Clayton Drug
Practice address
100 E 1St St
Sumner, IA 50674-1430
Phone
(563) 578-5142
Fax
(563) 578-5190
NPI assigned
Jan 24, 2012
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Christopher Edmund ClaytonNPI 1447628615
Title
Treaurer
Phone
(319) 939-2569

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 43 IA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

100 E 1St St
Sumner, IA 50674-1430

Mailing address

100 E 1St St
Sumner, IA 50674-1430
Phone (563) 578-5142

Other identifiers 1

IdentifierTypeStateIssuer
2133583MedicaidIA

Other names 1

  • Clayton Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120614000412 IA DME Supplier - Pharmacy 8426212879 Practice locations: Sumner, IA
O20130122000042 IA Part B Supplier - Mass Immunization (Roster Biller Only) 8426212879 1 other NPI on this enrollment
This NPI is an additional NPI on the 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2236649Clayton Drug100 E 1St St, Sumner, IA 50674Certificate of waiverSep 19, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Clayton Drug100 E 1St St, Sumner, IA 50674-1430(563) 578-5142 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 assignmentParticipating since Apr 30, 2012

National Provider Directory

National Provider Directory
Tax ID family
Clayton Drug3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 E 1st St
Sumner, IA 50674
Phone (563) 578-5068

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": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1184995029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 1ST ST",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506741430",
            "telephone_number": "563-578-5142",
            "fax_number": "563-578-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 1ST ST",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506741430",
            "telephone_number": "563-578-5142",
            "fax_number": "563-578-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "TREAURER",
        "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": "43",
            "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133583",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clayton Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumner, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.

Verify at the official NPI Registry.