Active NPI
Collin Clemmens, PHARMD
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1679486070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20170
- Practice address
- 5200 E Interstate 240 Service Rd
Oklahoma City, OK 73135 - Phone
- (405) 628-6370
- NPI assigned
- Sep 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20170 | OK | Primary |
Addresses
Primary practice location
5200 E Interstate 240 Service Rd
Oklahoma City, OK 73135
Mailing address
5200 E Interstate 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 628-6370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1679486070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 E INTERSTATE 240 SERVICE RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73135",
"telephone_number": "405-628-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 E INTERSTATE 240 SERVICE RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73135",
"telephone_number": "405-628-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMMENS",
"first_name": "COLLIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "20170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.