Guardian Pharmacy of Tulsa, LLC
NPI 1194185504 · Long Term Care Pharmacy · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Guardian Pharmacy of Tulsa, LLC is a Long Term Care Pharmacy organization in Tulsa, OK (NPI 1194185504).
Provider details
- NPI number
- 1194185504
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ricky Burgess, President(866) 237-8217
- License
- 2-7811 (OK)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 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
2,794 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) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 1,455 | $39 |
| Administration of Influenza Virus VaccineG0008 | 1,323 | $30 |
| Administration of Pneumococcal VaccineG0009 | 16 | $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
- Boomer Solutions of Tulsa
Registry dates
- Enumerated
- 2016-02-26
- Last updated
- 2017-02-24
Frequently asked questions
- What is Guardian Pharmacy of Tulsa, LLC's NPI number?
- Guardian Pharmacy of Tulsa, LLC's National Provider Identifier (NPI) is 1194185504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Guardian Pharmacy of Tulsa, LLC?
- Guardian Pharmacy of Tulsa, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Guardian Pharmacy of Tulsa, LLC located?
- Guardian Pharmacy of Tulsa, LLC's practice location on file with NPPES is 5415 S 125th East Ave, Tulsa, OK 74146-6232.
- What is Guardian Pharmacy of Tulsa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Guardian Pharmacy of Tulsa, LLC is (866) 237-8217.
- Does Guardian Pharmacy of Tulsa, LLC accept Medicare?
- Guardian Pharmacy of Tulsa, 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 Guardian Pharmacy of Tulsa, LLC?
- The authorized official listed on Guardian Pharmacy of Tulsa, LLC's NPPES record is Ricky Burgess, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Guardian Pharmacy of Tulsa, LLC's NPI active?
- Yes — Guardian Pharmacy of Tulsa, LLC's NPI (1194185504) is active in the NPPES registry as of the last update on 2017-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.