Yale Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8-3618 Issued in OK

Legal business name

YALE DRUG INC

Doing business as

Yale Drug

Practice address

121 N Main St
Yale, OK 74085-2507

Phone

(918) 387-4183

Fax

(918) 387-3200

NPI assigned

Jul 18, 2006

Last updated

Dec 20, 2016By 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

Troy Simons

Title

Owner

Phone

(918) 387-4183

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• YALE DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Yale Drug, Inc

  dba Yale Drug

  • Durable Medical Equipment & Medical Supplies
  • Yale, OK
  • NPI 1114089760

  1951462159

  Same PAC ID

Tax ID family

Yale 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.

• Yale Drug LTC

  • Long Term Care Pharmacy
  • Yale, OK
  • NPI 1548904568
  NPD tax ID
• Yale Drug, Inc

  dba Yale Drug

  • Durable Medical Equipment & Medical Supplies
  • Yale, OK
  • NPI 1114089760
  NPD tax ID

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1780602748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "YALE",
            "state": "OK",
            "postal_code": "740852507",
            "telephone_number": "918-387-4183",
            "fax_number": "918-387-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "YALE",
            "state": "OK",
            "postal_code": "740852507",
            "telephone_number": "918-387-4183",
            "fax_number": "918-387-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-387-4183"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "8-3618",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073853",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YALE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Home Health LLC
• Genesis Home Health LLC
• Lida F McGee, PHARM.D.
• Nicklas Thomas
• Amy Weierman, PHARMD
• Yale Drug LTC
• Yale Drug, Inc (Yale Drug)
• Yale Pubic Schools

• Community/Retail Pharmacy in Yale, OK
• Providers in Yale, 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 Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.