Active NPI
Cheyenne Professional Drug, Inc
Doing business as CPD Home Medical
- Durable Medical Equipment & Medical Supplies
- Sayre, OK
National Provider Identifier
1821274416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 761461
- Legal business name
- CHEYENNE PROFESSIONAL DRUG, INC
- Doing business as
- CPD Home Medical
- Practice address
- 111 N 4TH St
Sayre, OK 73662-2917 - Phone
- (580) 928-2741
- Fax
- (580) 928-2743
- NPI assigned
- Jan 14, 2008
- Last updated
- Nov 8, 2009
- Organization subpart
- Yes
- Parent organization
- CHEYENNE PROFESSIONAL DRUG, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eddie Tom Lakey I, RPH
- Title
- Owner
- Phone
- (580) 928-2741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 761461 | OK | Primary |
Addresses
Primary practice location
111 N 4TH St
Sayre, OK 73662-2917
Mailing address
111 N 4TH St
Sayre, OK 73662-2917
Phone (580) 928-2741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232590C | Medicaid | OK |
Other names 1
- CPD Home Medical
National Provider Directory
National Provider Directory- Part of
- Cheyenne Prof Drug
Locations
111 N 4th St
Sayre, OK 73662
Phone (580) 928-2741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257638400000",
"number": "1821274416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N 4TH ST",
"city": "SAYRE",
"state": "OK",
"postal_code": "736622917",
"telephone_number": "580-928-2741",
"fax_number": "580-928-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 4TH ST",
"city": "SAYRE",
"state": "OK",
"postal_code": "736622917",
"telephone_number": "580-928-2741",
"fax_number": "580-928-2743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEYENNE PROFESSIONAL DRUG, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHEYENNE PROFESSIONAL DRUG, INC",
"enumeration_date": "2008-01-14",
"last_updated": "2009-11-08",
"status": "A",
"authorized_official_last_name": "LAKEY",
"authorized_official_first_name": "EDDIE",
"authorized_official_middle_name": "TOM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-928-2741",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OK",
"license": "761461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100232590C",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CPD Home Medical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sayre, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.