OrganizationActive
Thackerville Pharmacy
NPI 1669777058 · Community/Retail Pharmacy · Thackerville, OK
Thackerville Pharmacy is a Community/Retail Pharmacy organization in Thackerville, OK (NPI 1669777058).
Provider details
- NPI number
- 1669777058
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan South, Manager(580) 276-5161
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
11530 Ridge Rd Ste 1
Thackerville, OK 73459-9623
Phone: (580) 276-5161
Fax: (580) 276-9063
Street-level locationGet directions
Mailing address
11530 Ridge Rd
Thackerville, OK 73459-9622
Other names (DBA / former)
- Doing business as
- Thackerville Pharmacy
Registry dates
- Enumerated
- 2011-01-18
- Last updated
- 2017-03-06
Frequently asked questions
- What is Thackerville Pharmacy's NPI number?
- Thackerville Pharmacy's National Provider Identifier (NPI) is 1669777058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thackerville Pharmacy?
- Thackerville Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Thackerville Pharmacy located?
- Thackerville Pharmacy's practice location on file with NPPES is 11530 Ridge Rd Ste 1, Thackerville, OK 73459-9623.
- What is Thackerville Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Thackerville Pharmacy is (580) 276-5161.
- Who is the authorized official for Thackerville Pharmacy?
- The authorized official listed on Thackerville Pharmacy's NPPES record is Susan South, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thackerville Pharmacy's NPI active?
- Yes — Thackerville Pharmacy's NPI (1669777058) is active in the NPPES registry as of the last update on 2017-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.