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TAHLEQUAH DRUG COMPANY
NPI 1225020811
Pharmacy - Community/Retail Pharmacy in Tahlequah, OK

Active since August 18, 2005CLIA 37D2211985 · Waiver
2028 MAHANEY AVE, TAHLEQUAH, OK 74464(918) 431-0555(918) 431-0316 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tahlequah Drug Company NPPES

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

TAHLEQUAH DRUG COMPANY (NPI 1225020811) is a healthcare organization registered as a community/retail pharmacy in Tahlequah, Oklahoma and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Shanon Gower, Owner, as its authorized official.

NPPES Registry Identity

NPI1225020811
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTAHLEQUAH DRUG COMPANY LLC
Location Address2028 MAHANEY AVETahlequah, OK 74464-5783
Mailing Address2028 Mahaney AveTahlequah, OK 74464-5783 · (918) 431-0555 · Fax (918) 431-0316
Phone(918) 431-0555
Fax(918) 431-0316
Organization SubpartNo
Authorized OfficialShanon GowerOwner · (918) 931-9222
Enumeration DateAugust 18, 2005
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1225020811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
2028 MAHANEY AVE, Tahlequah, OK 74464
Open in Google Maps ↗

Other Names 1

Doing Business AsTahlequah Drug Company

Other Identifiers 2

Medicaid200033290AOK
Other2076569Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2211985

Tahlequah Drug Company · Tahlequah, OK
Active · expires Feb 1, 2027
CLIA Number37D2211985
Laboratory TypePharmacy
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorShanon R. Gower
Laboratory Phone(918) 431-0555
Laboratory LocationTahlequah Drug Company2028 Mahaney Ave, Tahlequah, OK 74464
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services40 patients

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.

BROKEN ARROW PAIN SPECIALIST, LLC
Pain Medicine (Pain Medicine)
2028 MAHANEY AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 992-6050
DR. DENNIS RICHARD BIRD DPH
Pharmacist
2028 MAHANEY AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0555
BROKEN ARROW PAIN SPECIALIST, LLC
Pain Medicine (Pain Medicine)
2028 MAHANEY AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 992-6050
STONE BLUFF MEDICAL, LLC
Pain Medicine (Pain Medicine)
2028 MAHANEY AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 992-6050
DR. MATTHEW RAY LEE PHARM.D.
Pharmacist
2028 MAHANEY AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0315
CHEROKEE HILLS FAMILY MEDICINE, LLC
Internal Medicine
2028 MAHANEY AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0001

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 Tahlequah Drug Company LLC's NPI number?

The NPI number for Tahlequah Drug Company LLC is 1225020811. It was assigned to this organization in the NPPES registry on August 18, 2005. The provider is doing business as Tahlequah Drug Company.

Where is Tahlequah Drug Company LLC located?

Tahlequah Drug Company LLC is located at 2028 Mahaney Ave, Tahlequah, OK 74464. The listed phone number is (918) 431-0555.

What is Tahlequah Drug Company LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Tahlequah Drug Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2211985) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tahlequah Drug Company LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Tahlequah Drug Company LLC 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 Tahlequah Drug Company LLC was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.