Organization Active NPI

Parkview Pharmacy Inc

Doing business as Parkview Pharmacy

  • Community/Retail Pharmacy
  • Guymon, OK
National Provider Identifier
1063591436
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
43-4162 Issued in OK
Legal business name
PARKVIEW PHARMACY INC
Doing business as
Parkview Pharmacy
Practice address
115 Medical Dr
Guymon, OK 73942-3606
Phone
(580) 338-7565
Fax
(580) 338-7302
NPI assigned
Nov 4, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry Mack Moore, DPHNPI 1235218603
Title
President/Pharmacist
Phone
(580) 338-7565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 43-4162 OK Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

115 Medical Dr
Guymon, OK 73942-3606

Mailing address

115 Medical Dr
Guymon, OK 73942-3606
Phone (580) 338-7565

Other identifiers 2

IdentifierTypeStateIssuer
100233460AMedicaidOK
2081571OtherPK

Other names 1

  • PARKVIEW PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180928000359 OK Part B Supplier - Mass Immunization (Roster Biller Only) 7719004571 Practice locations: Guymon, OK

National Provider Directory

National Provider Directory

Locations

115 Medical Dr
Guymon, OK 73942
Phone (580) 338-7565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1063591436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423606",
            "telephone_number": "580-338-7565",
            "fax_number": "580-338-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423606",
            "telephone_number": "580-338-7565",
            "fax_number": "580-338-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "580-338-7565",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "43-4162",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233460A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKVIEW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guymon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.