PRAIRIE GARDENS PHARMACY LTC INC
NPI 1346988565
Pharmacy - Long Term Care Pharmacy in Oklahoma City, OK

Active since May 26, 2022
12301 N WESTERN AVE STE 106, OKLAHOMA CITY, OK 73114(405) 768-1818(405) 768-1919 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2022, May 26, 2022 (2 updates tracked since 2022).

About Prairie Gardens Pharmacy Ltc Inc NPPES

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

PRAIRIE GARDENS PHARMACY LTC INC (NPI 1346988565) is a healthcare organization registered as a long term care pharmacy in Oklahoma City, Oklahoma and active in the NPI registry since May 2022. The organization lists Troy Simons, President, as its authorized official.

NPPES Registry Identity

NPI1346988565
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePRAIRIE GARDENS PHARMACY LTC INC
Location Address12301 N WESTERN AVE STE 106Oklahoma City, OK 73114-8017
Mailing Address824 S Walnut StStillwater, OK 74074-4225 · (918) 510-0648
Fax(405) 768-1919
Organization SubpartNo
Authorized OfficialTroy SimonsPresident · (405) 742-8099
Enumeration DateMay 26, 2022
Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
NPI 1346988565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
12301 N WESTERN AVE STE 106, Oklahoma City, OK 73114

Other Identifiers 1

Other1-9220OK · Oklahoma State Board Of Pharmacy

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
12301 N WESTERN AVE STE 106
OKLAHOMA CITY, OK 73114

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 Prairie Gardens Pharmacy Ltc Inc's NPI number?

The NPI number for Prairie Gardens Pharmacy Ltc Inc is 1346988565. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Prairie Gardens Pharmacy Ltc Inc located?

Prairie Gardens Pharmacy Ltc Inc is located at 12301 N Western Ave Ste 106, Oklahoma City, OK 73114. The listed phone number is (405) 768-1818.

What is Prairie Gardens Pharmacy Ltc Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Prairie Gardens Pharmacy Ltc Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Prairie Gardens Pharmacy Ltc Inc 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 Prairie Gardens Pharmacy Ltc Inc was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.