OrganizationActive
Telos Compounding Solutions LLC
NPI 1073484523 · Community/Retail Pharmacy · Yukon, OK
Provider details
- NPI number
- 1073484523
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jacoby Gray, Managing Member(405) 706-0079
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 N Mustang Rd Ste C
Yukon, OK 73099-5671
Phone: (405) 706-0079
Street-level locationGet directions
Mailing address
701 N Mustang Rd Ste C
Yukon, OK 73099-5671
Registry dates
- Enumerated
- 2025-09-17
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.