Organization Active NPI

Yukon Pharmacy Inc

Doing business as West Pointe Pharmacy

  • Community/Retail Pharmacy
  • Yukon, OK
National Provider Identifier
1316276637
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26-7775 Issued in OK
Legal business name
YUKON PHARMACY INC
Doing business as
West Pointe Pharmacy
Practice address
520 S Mustang Rd
Yukon, OK 73099-6737
Phone
(405) 256-6653
Fax
(405) 256-6647
NPI assigned
Dec 15, 2009
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Dr. Chad Emry Heston, PHARMD
Title
Owner / Pharmacist-in-Charge
Phone
(405) 256-6653

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 26-7775 OK Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

520 S Mustang Rd
Yukon, OK 73099-6737

Mailing address

520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 256-6653

Other identifiers 2

IdentifierTypeStateIssuer
2123191OtherPK
200276370AMedicaidOK

Other names 1

  • West Pointe Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1316276637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996737",
            "telephone_number": "405-256-6653",
            "fax_number": "405-256-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996737",
            "telephone_number": "405-256-6653",
            "fax_number": "405-256-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "HESTON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "EMRY",
        "authorized_official_title_or_position": "OWNER / PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "405-256-6653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "26-7775",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123191",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200276370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Pointe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Pointe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.