UNITED DISCOUNT DRUG OF GUYMON INC (NPI# 1639192636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639192636 |
| Entity Type | Organization |
| Organization Name | UNITED DISCOUNT DRUG OF GUYMON INC |
| Other Organization Name | UNITED DISCOUNT DRUG |
| Practice Address |
1902 N Academy St Guymon OK 73942-2756 |
| Mailing Address |
Po Box 1131 Guymon OK 73942-1131 |
| Practice Telephone | 5803388421 |
| Practice Fax Number | 5803380721 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | JERRY MOORE (OWNER PHARMACIST) |
| Authorized Official Telephone | 5803388421 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
431959 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100235280A | 05 | |
| PK | 2073484 | 01 |
| Other Name | Type Code |
|---|---|
| UNITED DISCOUNT DRUG | Doing Business As Name - Organization |
| Street Address |
1902 N ACADEMY ST |
| City | GUYMON |
| State | OK |
| Zip Code | 73942-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154832954 | Jerry Moore | Pharmacist | 1902 N Academy St, Guymon, OK 73942-2756 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824219 | Joni R Loughridge | Behavior Technician | 1521 Hwy 54 N, 1521 Hwy 54 N, Guymon, OK 73942 | 2019-04-10 |
| 1457839151 | Cassandra J Hegwood | Social Worker | 1521 Hwy 54 N., Guymon, OK 73942 | 2018-08-03 |
| 1083152110 | Charlie A Bell | Counselor | 1521 Highway 54 N., P.o. 1247, Guymon, OK 73942 | 2017-02-09 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1295088961 | Steven Macias | Counselor | 305 Nw 5th, Guymon, OK 73942 | 2012-10-18 |
| 1588982946 | Maria R. Reyes | Counselor | 306 N.w. 5th St., Guymon, OK 73942 | 2010-05-11 |
| 1003139080 | Comprehensive Health Services | General Practice | 3255 Ne Hwy 54, Guymon, OK 73942 | 2010-03-05 |
| 1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
| 1245449339 | Judy Clemans | Registered Nurse | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
| 1992828776 | United Discount Drug of Guymon, Inc. | Durable Medical Equipment & Medical Supplies | 1902 N. Academy Street, Guymon, OK 73942 | 2007-04-09 |
| Find all providers in zip 73942 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.