Jack Justice
NPI 1699772806 · Community/Retail Pharmacy · Pauls Valley, OK
Jack Justice is a Community/Retail Pharmacy organization in Pauls Valley, OK (NPI 1699772806).
Provider details
- NPI number
- 1699772806
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Julie Justice, Authorized Official(405) 447-3911
Specialties & taxonomies
Suppliers
Suppliers
- Compounding Pharmacy3336C0004X
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
160 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 | 79 | $39 |
| Administration of Influenza Virus VaccineG0008 | 67 | $29 |
| Administration of Pneumococcal VaccineG0009 | 14 | $30 |
Typical Medicare-allowed amounts for these services range $29–$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
- Reavis Super Drug
Registry dates
- Enumerated
- 2005-07-01
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Jack Justice's NPI number?
- Jack Justice's National Provider Identifier (NPI) is 1699772806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Justice?
- Jack Justice is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jack Justice located?
- Jack Justice's practice location on file with NPPES is 110 a Burr Ave, Pauls Valley, OK 73075-1220.
- What is Jack Justice's phone number?
- The practice phone number listed in the NPPES registry for Jack Justice is (405) 238-7391.
- Who is the authorized official for Jack Justice?
- The authorized official listed on Jack Justice's NPPES record is Julie Justice, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Justice's NPI active?
- Yes — Jack Justice's NPI (1699772806) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.