Chickasha Clinic Pharmacy, LLC – Community/Retail Pharmacy, NPI 1114087350
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Chickasha Clinic Pharmacy, LLC
2224 W IOWA AVE
CHICKASHA, OK 730182738
Phone: (405) 224-4851
Fax: (405) 222-9157
Type: Mailing
2224, West Iowa Avenue, Chickasha, Grady County, Oklahoma, 73018, United States
CHICKASHA, OK 730182738
Phone: (405) 224-4851
Fax: (405) 222-9157
Type: Location
St Pauls Secondary, 18A, Ventris Road, Leighton Hill, Happy Valley, Wan Chai District, Hong Kong Island, Hong Kong, China
PAULS VALLEY, OK 730752020
Phone: (405) 224-4851
Fax: (405) 222-9157
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-16
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (167 days ago).
Enrollment records
1
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130816000263 | O | Pharmacy | OK | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 222 | 221 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 208 | 207 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 132 | 132 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 132 | 132 | $0 |
| G0009 | Administration of pneumococcal vaccine | 20 | 20 | $0 |
Insurance plans in this area (ZIP 73018)
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