Tahlequah Drug Company LLC
NPI 1225020811 · Community/Retail Pharmacy · Tahlequah, OK
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tahlequah Drug Company LLC is a Community/Retail Pharmacy organization in Tahlequah, OK (NPI 1225020811).
Provider details
- NPI number
- 1225020811
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shanon Gower, Owner(918) 931-9222
Specialties & taxonomies
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
20 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
86 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 | 52 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 34 | $39 |
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
- Tahlequah Drug Company
- Doing business as
- Tahlequah Drug Company
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Frequently asked questions
- What is Tahlequah Drug Company LLC's NPI number?
- Tahlequah Drug Company LLC's National Provider Identifier (NPI) is 1225020811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tahlequah Drug Company LLC?
- Tahlequah Drug Company LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Tahlequah Drug Company LLC located?
- Tahlequah Drug Company LLC's practice location on file with NPPES is 2028 Mahaney Ave, Tahlequah, OK 74464-5783.
- What is Tahlequah Drug Company LLC's phone number?
- The practice phone number listed in the NPPES registry for Tahlequah Drug Company LLC is (918) 431-0555.
- Does Tahlequah Drug Company LLC accept Medicare?
- Tahlequah Drug Company 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 Tahlequah Drug Company LLC?
- The authorized official listed on Tahlequah Drug Company LLC's NPPES record is Shanon Gower, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tahlequah Drug Company LLC's NPI active?
- Yes — Tahlequah Drug Company LLC's NPI (1225020811) is active in the NPPES registry as of the last update on 2021-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.