CHEYENNE PROFESSIONAL DRUG INC (NPI# 1831122555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831122555 |
| Entity Type | Organization |
| Organization Name | CHEYENNE PROFESSIONAL DRUG INC |
| Other Organization Name | CITY PHARMACY |
| Practice Address |
414 E Washington Ave Sayre OK 73662-1354 |
| Mailing Address |
Po Box 127 Sayre OK 73662-0127 |
| Practice Telephone | 5809283323 |
| Practice Fax Number | 5809283321 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | EDDIE LAKEY (PRESIDENT) |
| Authorized Official Telephone | 5809283323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
35-5042 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2073244 | 01 | |
| OK | 100244930A | 05 |
| Other Name | Type Code |
|---|---|
| CITY PHARMACY | Doing Business As Name - Organization |
| Street Address |
414 E WASHINGTON AVE |
| City | SAYRE |
| State | OK |
| Zip Code | 73662-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619074580 | Eddie Tom Lakey II | Pharmacist | 414 E Washington Ave, Sayre, OK 73662-1354 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194275883 | Kandace Lindsay | Peer Specialist | 501 E Grand, Sayre, OK 73662 | 2016-10-06 |
| 1124251624 | Katrina Lavern Hinds | Counselor | 501 E. Grand, Sayre, OK 73662 | 2009-08-31 |
| 1376762757 | K E Whinery Md PC | Family Medicine | 1505 North Watts, Sayre, OK 73662 | 2007-04-24 |
| 1093837767 | Sayre Health Care Inc | Skilled Nursing Facility | 1 Quarter Mile E of Court House, Sayre, OK 73662 | 2007-04-04 |
| 1174680482 | Dr. Brad Park Pllc | Chiropractor | 307 N.e. Hwy 66, Sayre, OK 73662 | 2007-01-03 |
| 1124104781 | Sonya` K Carlson | Pharmacist | 1601 N Watts St, Sayre, OK 73662 | 2006-10-27 |
| 1669558201 | Sam F Thornbrough | Pharmacist | 1601 N. Watts St., Sayre, OK 73662 | 2006-10-27 |
| 1417966284 | Roy Leaford Thornbrough | Dentist | 1605 North Watts Street, Sayre, OK 73662 | 2006-08-07 |
| 1346231826 | Sayre Public Schools | Public Health or Welfare | 716 Ne 66th St, Sayre, OK 73662 | 2005-11-02 |
| 1447247721 | Sayre Health Care | Nursing Care | 1/4 Mi E of Courthouse On Hwy 152, Sayre, OK 73662 | 2005-10-03 |
| Find all providers in zip 73662 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235215807 | Sam Thornbrough | Pharmacy | 1601 Watts St, Sayre, OK 73662-1314 | 2006-10-27 |
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|---|---|---|---|---|
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| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 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.