Individual provider Active NPI

Clayton Dwayne Howard, PHARMD

  • Pharmacist
  • Waco, TX
National Provider Identifier
1992393656
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53561 Issued in TX
Practice address
10412 China Spring Rd Ste a
Waco, TX 76708-5685
Phone
(254) 836-5255
Fax
(254) 836-5324
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53561 TX Primary

Addresses

Primary practice location

10412 China Spring Rd Ste a
Waco, TX 76708-5685

Mailing address

506 Stone Canyon Dr
MC Gregor, TX 76657-4137
Phone (254) 855-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
53561TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
M&T Pharmacy Solutions, LLC CurrentSince May 12, 2024 Accepting new patients
Pharmacy Plus Inc PastSince Jan 10, 2021 Accepting new patients

Locations

10412 China Spring Rd
Ste A
Waco, TX 76708
Phone (209) 247-2398

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1992393656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 STONE CANYON DR",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766574137",
            "telephone_number": "254-855-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 CHINA SPRING RD STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767085685",
            "telephone_number": "254-836-5255",
            "fax_number": "254-836-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CLAYTON",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.