Homeland – Community/Retail Pharmacy, NPI 1700142999
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Homeland
PO BOX 25008
OKLAHOMA CITY, OK 73125
Phone: (405) 290-3423
Fax: (405) 290-3523
Type: Mailing
2700 W 3RD ST
ELK CITY, OK 736444320
Phone: (580) 225-1600
Type: Location
390 NE 36TH
OKLAHOMA CITY, OK 73105
Phone: (405) 290-3423
Fax: (405) 290-3523
Type: Location
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: 2012-09-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (990 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20110915000635 | O | Mass Immunization (Roster Biller Only) | OK | 2026-06-30 |
| O20120927000462 | O | Pharmacy | OK | 2023-09-30 |
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 | 121 | 120 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 117 | 117 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 28 | 28 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | 28 | $0 |
Insurance plans in this area (ZIP 73125)
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