OrganizationActive
Shawnee Regional Pharmacy Inc
NPI 1770652257 · Community/Retail Pharmacy · Shawnee, OK
Provider details
- NPI number
- 1770652257
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Timothy Barrick, Owner Manager Officer(405) 273-9417
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3210 Kethley Rd
Shawnee, OK 74804-9625
Phone: (405) 273-9417
Fax: (405) 273-8849
Approximate (ZIP-level) locationGet directions
Mailing address
3210 Kethley Rd
Shawnee, OK 74804-9625
Other names (DBA / former)
- Doing business as
- The Clinic Pharmacy
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2015-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.