Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shattuck Pharmacy Management Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1720163959

Shattuck Pharmacy Management Inc is a Durable Medical Equipment & Medical Supplies in Shattuck, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1604 S Main St
Shattuck, OK 73858-9226
Phone: (580) 938-2854
Fax: (580) 938-2888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 75-5618 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1720163959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Johnson — Pic · (580) 938-2854
Other names Medic Pharmacy & Gifts; Medic Pharmacy & Gifts
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address1604 S Main St, Po Box 99, Shattuck, OK 73858-9226