KINGFISHER PHARMACY MANAGEMENT PLLC NPI 1174827273

NPI Information

  • NPI: 1174827273
  • Provider Name: KINGFISHER PHARMACY MANAGEMENT PLLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDIC PHARMACY AND GIFTS
  • CLIA Number: 37D2186389
  • Address: 119 W ADMIRE AVE
    KINGFISHER, OK
    ZIP 73750
  • Phone: (405) 375-3202

Map and Directions

Get Directions

NPI Details

KINGFISHER PHARMACY MANAGEMENT PLLC is a community/retail pharmacy pharmacy in Kingfisher, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KINGFISHER PHARMACY MANAGEMENT PLLC NPI is 1174827273. The provider is registered as an organization entity type.
The provider Is Doing Business As Medic Pharmacy And Gifts.

The provider's business location address is:

119 W ADMIRE AVE
KINGFISHER, OK
ZIP 73750-609
Phone: (405) 375-3202
Fax: (405) 375-6739

The provider's authorized official is Gregory Huenergardt .
The authorized official title is Member Manager and has the following contact phone number (580) 938-2854.

The CLIA number assigned to this NPI record is 37D2186389 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 1/4/2011 and was last updated on 1/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy54-5617OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12128250OTHERPK
2200323020AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.