Active NPI
Clinical Care Pharmacy of Owasso
Doing business as Medicap Pharmacy
- Community/Retail Pharmacy
- Owasso, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathy M Campbell, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3722988 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 100246800B | Medicaid | OK |
Other names 1
- Medicap Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066281 | OK | DME Supplier - Pharmacy | 9234241209 | Practice locations: Owasso, OK |
| O20201009000899 | OK | Part B Supplier - Pharmacy | 9234241209 | Practice locations: Owasso, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1006713 | Medicap Pharmacy 299 | Certificate of waiver | Nov 25, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medicap Pharmacy | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Owasso, OK
- NPI 1003944331
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.