Chickasha Clinic Pharmacy LLC
NPI 1114087350 · Community/Retail Pharmacy · Chickasha, OK
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chickasha Clinic Pharmacy LLC is a Community/Retail Pharmacy organization in Chickasha, OK (NPI 1114087350).
Provider details
- NPI number
- 1114087350
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Julie Justice, Authorized Agent(405) 447-3911
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
336 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 176 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 131 | $39 |
| Administration of Pneumococcal VaccineG0009 | 29 | $30 |
Typical Medicare-allowed amounts for these services range $30–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Chickasha Clinic Pharmacy, LLC
- Doing business as
- Chickasha Clinic Pharmacy, LLC
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Chickasha Clinic Pharmacy LLC's NPI number?
- Chickasha Clinic Pharmacy LLC's National Provider Identifier (NPI) is 1114087350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chickasha Clinic Pharmacy LLC?
- Chickasha Clinic Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Chickasha Clinic Pharmacy LLC located?
- Chickasha Clinic Pharmacy LLC's practice location on file with NPPES is 2224 W Iowa Ave, Chickasha, OK 73018-2738.
- What is Chickasha Clinic Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Chickasha Clinic Pharmacy LLC is (405) 224-4851.
- Does Chickasha Clinic Pharmacy LLC accept Medicare?
- Chickasha Clinic Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chickasha Clinic Pharmacy LLC?
- The authorized official listed on Chickasha Clinic Pharmacy LLC's NPPES record is Julie Justice, Authorized Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chickasha Clinic Pharmacy LLC's NPI active?
- Yes — Chickasha Clinic Pharmacy LLC's NPI (1114087350) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.