Organization
GADDY DISCOUNT DRUG INC
Active
Other names
Gaddy Drug, Gaddy Pharmacy, GADDYS DISCOUNT DRUG, Gaddy Health, Gaddy Med Supply
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT AUSTIN YATES (PRESIDENT)
(918) 682-5584
Entity
Organization
Contact information
Practice address
1126 W BROADWAY ST, MUSKOGEE, OK 74401-6246
(918) 682-5584
(918) 682-5585
Mailing address
1126 W BROADWAY ST, MUSKOGEE, OK 74401-6246
(918) 682-5584
(918) 682-5585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4-5023
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232790A
—
OK
05
—
100232790B
—
OK
01
—
2073505
PK
—
Enumeration date
07/15/2006
Last updated
08/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up