Texoma Medical Services, Inc.
Organization Active NPI Pharmacy · Vici, OK
NPI 1285898544 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1285898544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- TEXOMA MEDICAL SERVICES, INC.
- Practice address
- 202 E. Broadway
Vici, OK 73859-0082 - Phone
- (580) 995-3500
- Fax
- (580) 995-3502
- NPI assigned
- Jul 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Karen Daily
- Title
- V-P
- Phone
- (580) 328-5208
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056355 | OK | DME Supplier - Pharmacy | 1153441308 | Practice locations: Vici, OK |
| O20151002002187 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153441308 |
5 other NPIs on this enrollment Practice locations: Buffalo, OK; Clinton, OK; Seiling, OK; Vici, OK; Woodward, OK |
National Provider Directory
- Tax ID family
- Texoma Medical Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
202 E. Broadway
Vici, OK 73859-0082
Mailing address
PO Box 236
Taloga, OK 73667-0236
Phone (580) 328-5208
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639133432 | Other | NPI | |
| 100846370E | Medicaid | OK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Taloga | Direct | |
| Other URL | Taloga |
Other providers in Vici, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.