Southern Oklahoma Mental Health and Institutional Pharmacy

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

225038 Issued in OK

Legal business name

SOUTHERN OKLAHOMA MENTAL HEALTH AND INSTITUTIONAL PHARMACY

Practice address

110 Burr Ave
Pauls Valley, OK 73075-3848

Phone

(405) 238-7391

Fax

(405) 238-7357

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Lee Justice, DPH

Title

Owner

Phone

(405) 238-7391

Specialties & licenses 3

Addresses

Other names 1

• healthcare pharmacy of oklahoma Doing business as

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972674141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BURR AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753848",
            "telephone_number": "405-238-7391",
            "fax_number": "405-238-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BURR AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753848",
            "telephone_number": "405-238-7391",
            "fax_number": "405-238-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA MENTAL HEALTH AND INSTITUTIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-238-7391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "225038",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "OK",
            "license": "225038",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OK",
            "license": "225038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healthcare pharmacy of oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward James Seeley, B.A.
• Emily Smith, D.PH
• Jonathan James Smith, PA-C
• Scott A Smith, OTR/L
• Steven Smith I
• Southern Plains Medical Center Inc
• Southern Plains Medical Center of Garvin County LLC
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• Anita Speer
• Sprowls Chiropractic Corporation

• Specialty Pharmacy in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Specialty Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.