Clear Creek Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25865 Issued in TX

Legal business name

CLEAR CREEK PHARMACY INC

Practice address

2300 Clear Creek Rd
Ste 205
Killeen, TX 76549-4984

Phone

(254) 247-3170

Fax

(254) 247-3175

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

James Dykes

Title

Pic

Phone

(713) 747-2100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CLEAR CREEK PHARMACY INC Doing business as

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1265619753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 BYLTHEWOOD ST",
            "address_2": "STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770215402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CLEAR CREEK RD",
            "address_2": "STE 205",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494984",
            "telephone_number": "254-247-3170",
            "fax_number": "254-247-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "713-747-2100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25865",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4547355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEAR CREEK PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgione Clarke
• Kelsey Clarke
• Lakeisha Lashon Marie Clay
• Elisa Claycomb
• Clear Creek Inpatient Physicians
• Drew Cleavinger
• Jillian Cleland, SLP
• Haley Keiandre Clemons
• Vonkeycha Clemons, RBT
• Jane B Cleveland, MS-CCC

• Community/Retail Pharmacy in Killeen, TX
• Providers in Killeen, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.