NPIMap

Organization Active NPI

United Discount Drug of Guymon, Inc.

Doing business as United Discount Drug

  • Durable Medical Equipment & Medical Supplies
  • Guymon, OK
National Provider Identifier
1992828776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
43-1959 Issued in OK
Legal business name
UNITED DISCOUNT DRUG OF GUYMON, INC.
Doing business as
United Discount Drug
Practice address
1902 N. Academy Street
Guymon, OK 73942
Phone
(580) 338-8421
Fax
(580) 338-0721
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerry Dean Moore, D.PHNPI 1154832954
Title
Owner Pharmacist
Phone
(580) 338-8421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 43-1959 OK Primary

Addresses

Primary practice location

1902 N. Academy Street
Guymon, OK 73942

Mailing address

PO Box 1131
Guymon, OK 73942-1131
Phone (580) 338-8421

Other identifiers 1

IdentifierTypeStateIssuer
3710022OtherOKNCPDP

Other names 1

  • United Discount Drug Doing business as

National Provider Directory

National Provider Directory

Locations

1902 N Academy St
Guymon, OK 73942
Phone (580) 338-8421

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992828776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1131",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739421131",
            "telephone_number": "580-338-8421",
            "fax_number": "580-338-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N. ACADEMY STREET",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "73942",
            "telephone_number": "580-338-8421",
            "fax_number": "580-338-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DISCOUNT DRUG OF GUYMON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "580-338-8421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "43-1959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3710022",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Discount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guymon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.