OrganizationActive
Prairie Gardens Pharmacy Ltc Inc
NPI 1346988565 · Long Term Care Pharmacy · Oklahoma City, OK
Provider details
- NPI number
- 1346988565
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Troy Simons, President(405) 742-8099
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
12301 N Western Ave Ste 106
Oklahoma City, OK 73114-8017
Phone: (405) 768-1818
Fax: (405) 768-1919
Street-level locationGet directions
Mailing address
824 S Walnut St
Stillwater, OK 74074-4225
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2022-11-18
- Certified
- 2022-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.