| NPI | 1104851989 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-11 |
| Last Updated | 2019-06-20 |
| Authorized Official | Eddie Lakey OWNER Phone: 5803741615 |
| Mailing Address | Po Box 111 Sayre, OK 73662-0111 United States Phone: (580) 928-3633 | Fax: (580) 928-3635 📍 View Map |
| Primary Practice Address | 1002 Ne Highway 66 Ste 1 Sayre, OK 73662-9312 United States Phone: (580) 928-3633 | Fax: (580) 928-3635 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 100244920A | - |
| Other (non-Medicare) | - | 2073595 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1104851989
Cheyenne Professional Drug, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104851989. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Sayre, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104851989?
NPI 1104851989 belongs to Cheyenne Professional Drug, Inc, a Pharmacy, Community/Retail Pharmacy in Sayre, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104851989 active?
The current status of NPI 1104851989 in the NPPES registry is Active. The record was last updated on 2019-06-20.
What specialty is NPI 1104851989?
NPI 1104851989 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104851989?
You can verify NPI 1104851989 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104851989?
The primary practice address on file for NPI 1104851989 is 1002 Ne Highway 66 Ste 1, Sayre, OK 73662-9312. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104851989 issued?
NPI 1104851989 was first issued (enumerated) on 2006-07-11. The NPPES record was last updated on 2019-06-20.
Practice Location Map
Cheyenne Professional Drug, Inc is located at 1002 Ne Highway 66 Ste 1, Sayre, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cheyenne Professional Drug, Inc. All records sourced from the CMS NPPES registry.