Organization Active NPI

Clinical Care Pharmacy of Owasso

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Owasso, OK
National Provider Identifier
1578657987
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CLINICAL CARE PHARMACY OF OWASSO
Doing business as
Medicap Pharmacy
Practice address
130 S Main St
Owasso, OK 74055-3108
Phone
(918) 274-1737
Fax
(918) 274-1745
NPI assigned
Oct 3, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Mrs. Kathy M Campbell, PHARMDNPI 1003944331
Title
Owner Clinical Care Pharmacy of Owa
Phone
(918) 274-1737

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 24520 OK
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

130 S Main St
Owasso, OK 74055-3108

Mailing address

130 S Main St
Owasso, OK 74055-3108
Phone (918) 274-1737

Other identifiers 2

IdentifierTypeStateIssuer
3722988OtherOTHER ID NUMBER-COMMERCIAL NUMBER
100246800BMedicaidOK

Other names 1

  • Medicap Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930066281 OK DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9234241209 Practice locations: Owasso, OK
O20201009000899 OK Part B Supplier - Pharmacy 9234241209 Practice locations: Owasso, OK

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1006713Medicap Pharmacy 299130 S Main, Owasso, OK 74055Certificate of waiverNov 25, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medicap Pharmacy130 S Main St, Owasso, OK 74055-3108(918) 274-1737 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power Related Accessories)|Wh… Does not accept assignmentParticipating since Apr 9, 2001

National Provider Directory

National Provider Directory

Locations

130 S Main St
Owasso, OK 74055
Phone (918) 274-1737

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1578657987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553108",
            "telephone_number": "918-274-1737",
            "fax_number": "918-274-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553108",
            "telephone_number": "918-274-1737",
            "fax_number": "918-274-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARE PHARMACY OF OWASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER CLINICAL CARE PHARMACY OF OWA",
        "authorized_official_telephone_number": "918-274-1737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "24520",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3722988",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246800B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.