Popkess Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POPKESS PHARMACY INC.

Doing business as

Creative Health Pharmacy of Dewey
Popkess Pharmacy

Practice address

524 E Don Tyler Ave
Dewey, OK 74029-2518

Phone

(918) 534-2262

Fax

(918) 534-3208

NPI assigned

Dec 11, 2006

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Taylor Clark, PHARMDNPI 1215494083

Title

Owner

Phone

(918) 534-2262

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Creative Health Pharmacy of Dewey Doing business as
• POPKESS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Ashley Taylor Clark, PHARMD

  • Pharmacist
  • Dewey, OK
  • NPI 1215494083
  NPD (past) Authorized official
• James A Caughern Jr., PHARMD

  • Pharmacist
  • Dewey, OK
  • NPI 1942555230
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1265592158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E DON TYLER AVE",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740292518",
            "telephone_number": "918-534-2262",
            "fax_number": "918-534-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E DON TYLER AVE",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740292518",
            "telephone_number": "918-534-2262",
            "fax_number": "918-534-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPKESS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-534-2262",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242900A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Health Pharmacy of Dewey",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POPKESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POPKESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Key Rehabilitation, Inc (GeroPsych)
• Leroy Place D.D.S., Inc.
• Medicalodges, Inc. (Medicalodges Dewey)
• Older Citizens Services Inc (Washington-Nowata Nutrition Project)
• Leroy Place, D.D.S.
• Brynn Elizabeth Rippy
• Michaela Elaine Rolph, M.S.,CCC-SLP
• Colin Rosander, DMD
• Megan Sevart, COTA/L
• Mary Ann Shoonech

• Community/Retail Pharmacy in Dewey, OK
• Providers in Dewey, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.