NPIMap

Organization Active NPI

Stephens Health Care Specialists PLLC

Doing business as Cheyenne Professional Drug

  • Community/Retail Pharmacy
  • Cheyenne, OK
National Provider Identifier
1366765638
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
76-5469 Issued in OK
Legal business name
STEPHENS HEALTH CARE SPECIALISTS PLLC
Doing business as
Cheyenne Professional Drug
Practice address
413 Broadway
Cheyenne, OK 73628
Phone
(580) 497-3325
Fax
(580) 497-3326
NPI assigned
Mar 1, 2010
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Jaclyn Stephens
Title
Owner / Pic
Phone
(580) 497-3325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 76-5469 OK Primary

Addresses

Primary practice location

413 Broadway
Cheyenne, OK 73628

Mailing address

PO Box 860
Cheyenne, OK 73628-0860
Phone (580) 497-3325

Other names 1

  • CHEYENNE PROFESSIONAL DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cheyenne Professional Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

413 E Broadway Ave
Cheyenne, OK 73628
Phone (580) 497-3325

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1366765638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "CHEYENNE",
            "state": "OK",
            "postal_code": "736280860",
            "telephone_number": "580-497-3325",
            "fax_number": "580-497-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BROADWAY",
            "city": "CHEYENNE",
            "state": "OK",
            "postal_code": "73628",
            "telephone_number": "580-497-3325",
            "fax_number": "580-497-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS HEALTH CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "580-497-3325"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "76-5469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHEYENNE PROFESSIONAL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.