OrganizationActive
Elgin Pharmacy, LLC
NPI 1275033474 · Community/Retail Pharmacy · Elgin, OK
Provider details
- NPI number
- 1275033474
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brendan Jones, Member(580) 492-5007
- License
- 3-5152 (OK)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES 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
12889 Commerce Dr
Elgin, OK 73538-3869
Phone: (580) 492-5007
Fax: (580) 492-5090
Approximate (ZIP-level) locationGet directions
Mailing address
12889 Commerce Dr
Elgin, OK 73538-3869
Registry dates
- Enumerated
- 2018-02-14
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.