Organization Active NPI

Okuley's Pharmacy - Paulding Inc.

  • Community/Retail Pharmacy
  • Paulding, OH
National Provider Identifier
1881439768
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OKULEY'S PHARMACY - PAULDING INC.
Practice address
829 N Williams St
Paulding, OH 45879-1064
Phone
(419) 784-4800
NPI assigned
Jul 1, 2024
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
Marcia Wakeham
Title
Compliance Officer
Phone
(419) 784-4800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

829 N Williams St
Paulding, OH 45879-1064

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20241108001293 OH Part B Supplier - Mass Immunization (Roster Biller Only) 2668906934 Practice locations: Paulding, OH
O20241217001094 OH Part B Supplier - Pharmacy 2668906934 Practice locations: Paulding, OH
O20260618003939 OH DME Supplier - Pharmacy 2668906934 Practice locations: Paulding, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2328550Okuley's Pharmacy Paulding829 N Williams Street, Paulding, OH 45879Certificate of waiverAug 11, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Okuley's Pharmacy - Paulding Inc.829 N Williams St, Paulding, OH 45879-1064(419) 399-2010 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Sep 1, 2024

National Provider Directory

National Provider Directory

Locations

829 N Williams St
Paulding, OH 45879
Phone (419) 399-2010

Practitioners & affiliated clinicians

Practitioners 2

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": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1881439768",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N WILLIAMS ST",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458791064",
            "telephone_number": "419-784-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKULEY'S PHARMACY - PAULDING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "WAKEHAM",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "419-784-4800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paulding, 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.