Organization Active NPI

Okuleys Pharmacy and Home Medical Inc

  • Compounding Pharmacy
  • Defiance, OH
National Provider Identifier
1619958592
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
OKULEYS PHARMACY AND HOME MEDICAL INC
Doing business as
Okuleys Pharmacy and Home Medical Inc
Practice address
1201 E 2ND St
Defiance, OH 43512-2405
Phone
(419) 784-4800
Fax
(419) 784-4777
NPI assigned
Nov 8, 2005
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Kieu Okuley, RPHNPI 1396753612
Title
Owner and Treasurer
Phone
(419) 784-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 021184400 OH
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

1201 E 2ND St
Defiance, OH 43512-2405

Mailing address

1201 E 2ND St
Defiance, OH 43512-2405
Phone (419) 784-4800

Other identifiers 2

IdentifierTypeStateIssuer
2331499MedicaidOH
2077524OtherPK

Other names 1

  • OKULEYS PHARMACY AND HOME MEDICAL INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930041265 OH DME Supplier - PharmacyDME Supplier - Pedorthic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Orthotic Personnel 4486866621 Practice locations: Defiance, OH
O20101007000899 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4486866621 Practice locations: Defiance, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Okuley's Pharmacy and Home Medical1201 E 2ND St, Defiance, OH 43512-2405(419) 784-4800 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ultraviolet L… Does not accept assignmentParticipating since Jan 1, 2003

National Provider Directory

National Provider Directory

Locations

1201 E 2nd St
Defiance, OH 43512
Phone (419) 784-4800

1245 E 2nd St
Defiance, OH 43512
Phone (419) 784-4800

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1619958592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122405",
            "telephone_number": "419-784-4800",
            "fax_number": "419-784-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122405",
            "telephone_number": "419-784-4800",
            "fax_number": "419-784-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKULEYS PHARMACY AND HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "OKULEY",
        "authorized_official_first_name": "KIEU",
        "authorized_official_title_or_position": "OWNER AND TREASURER",
        "authorized_official_telephone_number": "419-784-4800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021184400",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2331499",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OKULEYS PHARMACY AND HOME MEDICAL INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.