Gaddy Discount Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4-5023 Issued in OK

Legal business name

GADDY DISCOUNT DRUG INC

Doing business as

Gaddys Discount Drug
Gaddy Drug
Gaddy Health2 more in Other names

Practice address

1126 W Broadway St
Muskogee, OK 74401-6246

Phone

(918) 682-5584

Fax

(918) 682-5585

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Robert Austin Yates

Title

President

Phone

(918) 682-5584

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 5

• GADDYS DISCOUNT DRUG Doing business as
• Gaddy Drug Doing business as
• Gaddy Health Doing business as
• Gaddy Med Supply Doing business as
• Gaddy 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.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Seth Carter, PHARMACIST

  • Pharmacotherapy Pharmacist
  • Muskogee, OK
  • NPI 1114925062
  NPD
• Michelle L Carter, PHARM.D.

  • Pharmacist
  • Warner, OK
  • NPI 1215584156
  NPD
• Tiffani Perry, PHARMD

  • Pharmacist
  • Muskogee, OK
  • NPI 1013474469
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1508882143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016246",
            "telephone_number": "918-682-5584",
            "fax_number": "918-682-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016246",
            "telephone_number": "918-682-5584",
            "fax_number": "918-682-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADDY DISCOUNT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-682-5584"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "4-5023",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232790A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232790B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GADDYS DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GADDYS DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaddy Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaddy Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaddy Med Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaddy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Jean Fuerstenberg, BSN, RN
• Charles Berry Fullenwider, M.D.
• Robyn Joyce Fullerton, M.A., LPC
• Cassidy Lea Fulton
• Kaytie Nicole Furek
• Kimberly R Gage, MD
• Jaclyn D Galdamez
• Tina Gale-Bickett, APRN
• Daniel B Galindo
• Shadeja Gallagher

• Community/Retail Pharmacy in Muskogee, OK
• Providers in Muskogee, 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 Aug 5, 2026; 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.