Organization
JERRYS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DENNIS (OWNER)
(580) 824-1741
Entity
Organization
Contact information
Practice address
1549 MAIN ST, WAYNOKA, OK 73860-2008
(580) 824-1741
(580) 824-2172
Mailing address
1549 MAIN ST, WAYNOKA, OK 73860-2008
(580) 824-1741
(580) 824-2172
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
502796
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238740A
—
OK
01
—
3713179
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
06/17/2008
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