Kingfisher Pharmacy Management PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54-5617 Issued in OK

Legal business name

KINGFISHER PHARMACY MANAGEMENT PLLC

Doing business as

Medic Pharmacy and Gifts

Practice address

119 W Admire Ave
Kingfisher, OK 73750-2609

Phone

(405) 375-3202

Fax

(405) 375-6739

NPI assigned

Jan 4, 2011

Last updated

Aug 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Huenergardt

Title

Member Manager

Phone

(580) 938-2854

Specialties & licenses 4

Addresses

Other names 1

• Medic Pharmacy and Gifts Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Trevor Patrick Wilczek

  • Pharmacist
  • Kingfisher, OK
  • NPI 1952867467
  NPD
• Elizabeth R York

  • Hearing Instrument Specialist
  • Kingfisher, OK
  • NPI 1659059038
  NPD (past)

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1174827273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W ADMIRE AVE",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737502627",
            "telephone_number": "405-375-3202",
            "fax_number": "405-375-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W ADMIRE AVE",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737502609",
            "telephone_number": "405-375-3202",
            "fax_number": "405-375-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGFISHER PHARMACY MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "HUENERGARDT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "580-938-2854"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "54-5617",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic Pharmacy and Gifts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kingfisher Clinic PLLC (Kingfisher Family Clinic)
• Kingfisher Dental PLLC
• Kingfisher Dental PLLC (Kingfisher Dentistry and Braces)
• Kingfisher Eye Clinic Inc
• Kingfisher Family Eyecare
• Kingfisher Public School
• Kingfisher Regional Hospital
• Kingfisher Regional Hospital
• Chasity Kirkman
• Cynthia Knapski, PTA

• Community/Retail Pharmacy in Kingfisher, OK
• Providers in Kingfisher, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.