Clayton Pharmacy Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1633 Issued in IA

Legal business name

CLAYTON PHARMACY SERVICES

Doing business as

Clayton Drug

Practice address

135 N Main St
Elkader, IA 52043-7700

Phone

(563) 245-2530

Fax

(563) 245-2537

NPI assigned

Feb 14, 2018

Last updated

Feb 2, 2021By 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

Jennifer Elizabeth ClaytonNPI 1720552672

Title

Ceo

Phone

(563) 933-4762

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Clayton Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Clayton Pharmacy Services

  dba Clayton Drug

  • Pharmacy
  • Strawberry Point, IA
  • NPI 1083985923

  8426212879

  Same PAC ID
• Clayton Pharmacy Services

  dba Clayton Drug

  • Pharmacy
  • Sumner, IA
  • NPI 1184995029

  8426212879

  Same PAC ID

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Clayton Pharmacy Services

  dba Clayton Drug

  • Pharmacy
  • Strawberry Point, IA
  • NPI 1083985923
  NPD tax ID
• Clayton Pharmacy Services

  dba Clayton Drug

  • Pharmacy
  • Sumner, IA
  • NPI 1184995029
  NPD tax ID

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.

• Jennifer Elizabeth Clayton, PHARMD, BCGP

  • Geriatric Pharmacist
  • Strawberry Point, IA
  • NPI 1720552672
  Authorized official Same address or phone
• Suzannah Marie Hekel, PHARMD

  • Pharmacist
  • Elkader, IA
  • NPI 1972077246
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1417457656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18889 161ST AVE",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578898",
            "telephone_number": "563-920-1135",
            "fax_number": "563-927-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520437700",
            "telephone_number": "563-245-2530",
            "fax_number": "563-245-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-933-4762"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222017",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clayton Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Community Hospital
• Central Community Hospital (MercyOne Elkader Medical Center)
• Central Community Hospital (MercyOne Elkader Family Medicine)
• Central Community School District
• Chiropractic Advantage Clinic, P.C.
• Jane Ann Clemen, RD/LD
• Alyssa Cram
• Elkader Care LLC (Kingston Court Assisted Living)
• Elkader Care LLC
• Elkader Chiropractic Center PC

• Community/Retail Pharmacy in Elkader, IA
• Providers in Elkader, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.