Clinic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CLINIC PHARMACY INC

Practice address

120 N Bryant Ave Ste A2
Edmond, OK 73034-6300

Phone

(405) 341-8490

Fax

(405) 341-8496

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Susan IsaacsNPI 1912066770

Title

President

Phone

(405) 341-8490

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CLINIC PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Lee Isaacs, D.PH.

  • Pharmacist
  • Edmond, OK
  • NPI 1912066770
  NPD Authorized official
• Homer Duane Lawrence, PD

  • Pharmacist
  • Edmond, OK
  • NPI 1821143215
  NPD (past)
• Jacquelyn Renae Travers, PHARMD

  • Pharmacotherapy Pharmacist
  • Oklahoma City, OK
  • NPI 1093086654
  NPD (past)
• Deanna Fugate Warzel, DPH

  • Pharmacist
  • Edmond, OK
  • NPI 1922250786
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1982742979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N BRYANT AVE STE A2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346300",
            "telephone_number": "405-341-8490",
            "fax_number": "405-341-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BRYANT AVE STE A2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346300",
            "telephone_number": "405-341-8490",
            "fax_number": "405-341-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-341-8490"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072521",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• B. Gale Cliburn, MHR, LPC
• Stacey Cliburn
• Deziray Swing Click, P.A.-C
• Clifford Brian Hooper, D.D.S.
• Demetrick Leon Clifton Jr.
• Amy Christine Clinkenbeard, PT
• Clinton a. Lewis, Psy.D., P.C.
• Paula Jameson Clinton, M.ED, LPC, LMFT
• Jonathan Cloar
• Shailynne Estelle Cloran, PA-C

• Community/Retail Pharmacy in Edmond, OK
• Providers in Edmond, 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 Apr 27, 2020; 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.