Dougherty'S Pharmacy Mcalester, LLC
NPI 1720454218 · Community/Retail Pharmacy · Mcalester, OK
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dougherty'S Pharmacy Mcalester, LLC is a Community/Retail Pharmacy organization in Mcalester, OK (NPI 1720454218).
Provider details
- NPI number
- 1720454218
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Terrence Dewitt, Ceo(254) 722-7912
- License
- 15-7361 (OK)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- The Medicine Shoppe Pharmacy
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2021-05-07
- Certified
- 2021-05-07
Frequently asked questions
- What is Dougherty'S Pharmacy Mcalester, LLC's NPI number?
- Dougherty'S Pharmacy Mcalester, LLC's National Provider Identifier (NPI) is 1720454218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dougherty'S Pharmacy Mcalester, LLC?
- Dougherty'S Pharmacy Mcalester, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Dougherty'S Pharmacy Mcalester, LLC located?
- Dougherty'S Pharmacy Mcalester, LLC's practice location on file with NPPES is 622 E Wyandotte Ave, Mcalester, OK 74501-5426.
- What is Dougherty'S Pharmacy Mcalester, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dougherty'S Pharmacy Mcalester, LLC is (918) 426-5223.
- Does Dougherty'S Pharmacy Mcalester, LLC accept Medicare?
- Dougherty'S Pharmacy Mcalester, 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 Dougherty'S Pharmacy Mcalester, LLC?
- The authorized official listed on Dougherty'S Pharmacy Mcalester, LLC's NPPES record is Terrence Dewitt, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dougherty'S Pharmacy Mcalester, LLC's NPI active?
- Yes — Dougherty'S Pharmacy Mcalester, LLC's NPI (1720454218) is active in the NPPES registry as of the last update on 2021-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.