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JACK JUSTICE
NPI 1013074111
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Pauls Valley, OK

Active since January 02, 2007
110 BURR AVE, PAULS VALLEY, OK 73075(405) 238-7391(405) 238-1162 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Jack Justice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JUSTICE (NPI 1013074111), doing business as Reavis Rexall Drug, is a healthcare organization registered as an oxygen equipment & supplies in Pauls Valley, Oklahoma and active in the NPI registry since January 2007. The organization lists Jack Lee Justice, Owner Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1013074111
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameJACK JUSTICE
Location Address110 BURR AVEPauls Valley, OK 73075-3848
Mailing Address110 Burr AvePauls Valley, OK 73075-3848 · (405) 238-7391 · Fax (405) 238-1162
Phone(405) 238-7391
Fax(405) 238-1162
Organization SubpartNo
Authorized OfficialJack Lee JusticeOwner Pharmacist · (405) 238-7391
Enumeration DateJanuary 2, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1013074111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in OK · 223755
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 223755 (OK)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 223755 (OK)
110 BURR AVE, Pauls Valley, OK 73075
Open in Google Maps ↗

Other Names 1

Doing Business AsReavis Rexall Drug

Other Identifiers 1

Medicaid100235750BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 37

Medicare supplier enrollment and the product categories Reavis Drugs carries, from the Medicare DMEPOS supplier directory.

Reavis Drugs

DMEPOS supplier · Pauls Valley, OKOperated by Jack Justice
✔

Accepts Medicare assignment

Reavis Drugs agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20657957
Medicare Participant SinceJanuary 1, 1998
Supplier Location110 Burr AvePauls Valley, OK 73075
Phone(405) 238-7391
Provider TypeOxygen & Equipment
Supplier Specialties
Certified Other MSC With Respiratory Therapist MSC With Orthotic Personnel Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JACK LEE JUSTICE DPH
Pharmacist
110 BURR AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-7391
MRS. CYNTHIA A. JACOBSON DPH.
Pharmacist
110 BURR AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-7391
DR. CHRISTOPHER JAMES GOLD PHARM D
Pharmacist
110 BURR AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-7391
MISS CARLA ANN BOETTLER DPH
Pharmacist
110 BURR AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-7391
SARA JUSTICE D.PH
Pharmacist
110 BURR AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-7391
SOUTHERN OKLAHOMA MENTAL HEALTH AND INSTITUTIONAL PHARMACY
Pharmacy (Specialty Pharmacy)
110 BURR AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-7391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Justice's NPI number?

The NPI number for Jack Justice is 1013074111. It was assigned to this organization in the NPPES registry on January 2, 2007. The provider is doing business as Reavis Rexall Drug.

Where is Jack Justice located?

Jack Justice is located at 110 Burr Ave, Pauls Valley, OK 73075. The listed phone number is (405) 238-7391.

What is Jack Justice's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Does Jack Justice accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Reavis Drugs accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Jack Justice accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Jack Justice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Justice was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.