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CREATIVE CARE PHARMACY, LLC
NPI 1639518038
Pharmacy - Community/Retail Pharmacy in Edmond, OK

Active since June 19, 2013
14101 N EASTERN AVE, SUITE A, EDMOND, OK 73013(405) 562-1800(405) 562-1880 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2020, Jul 3, 2020, Feb 10, 2020 (3 updates tracked since 2020).

About Creative Care Pharmacy, Llc NPPES

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

CREATIVE CARE PHARMACY, LLC (NPI 1639518038) is a healthcare organization registered as a community/retail pharmacy in Edmond, Oklahoma and active in the NPI registry since June 2013. The organization lists David George, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1639518038
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCREATIVE CARE PHARMACY, LLC
Location Address14101 N EASTERN AVE, SUITE AEdmond, OK 73013-5859
Mailing Address14101 N Eastern Ave, Suite AEdmond, OK 73013-5859 · (405) 562-1800 · Fax (405) 562-1880
Phone(405) 562-1800
Fax(405) 562-1880
Organization SubpartNo
Authorized OfficialDavid GeorgeCo-owner · (405) 562-1800
Enumeration DateJune 19, 2013
Last NPPES UpdateJuly 6, 20203 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
✔ NPI 1639518038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
14101 N EASTERN AVE, Edmond, OK 73013
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Other Identifiers 1

Medicaid200494830AOK

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creative Care Pharmacy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20150113001604DME · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

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.
96 services95 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
92 services92 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
41 services30 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Creative Care Pharmacy, LLC carries, from the Medicare DMEPOS supplier directory.

Creative Care Pharmacy, LLC

DMEPOS supplier · Edmond, OK
✔

Accepts Medicare assignment

Creative Care Pharmacy, LLC 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)20511683
Medicare Participant SinceAugust 1, 2013
Supplier Location14101 N Eastern Ave Ste AEdmond, OK 73013
Phone(405) 562-1800
Supplier Specialties
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 5

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

CHARLES A MCWILLIAMS MD
Urology
14101 N EASTERN AVE, SUITE C
EDMOND, OK 73013
Oklahoma County (405) 340-1279
MS. TRACI DENISE BARTLEY LCSW
Social Worker (Clinical)
14101 N EASTERN AVE
EDMOND, OK 73013
Oklahoma County (405) 340-1621
LINDSEY PAYTON
Social Worker (Clinical)
14101 N EASTERN AVE
EDMOND, OK 73013
Oklahoma County (405) 271-5541
LYRIC HAXTON LCSW
Social Worker (Clinical)
14101 N EASTERN AVE
EDMOND, OK 73013
Oklahoma County (405) 271-5541
LAUREN STILL LCSW
Social Worker (Clinical)
14101 N EASTERN AVE
EDMOND, OK 73013
Oklahoma County (405) 271-5541

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 Creative Care Pharmacy, LLC's NPI number?

The NPI number for Creative Care Pharmacy, LLC is 1639518038. It was assigned to this organization in the NPPES registry on June 19, 2013.

Where is Creative Care Pharmacy, LLC located?

Creative Care Pharmacy, LLC is located at 14101 N Eastern Ave Suite A, Edmond, OK 73013. The listed phone number is (405) 562-1800.

What is Creative Care Pharmacy, LLC's specialty?

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

Is Creative Care Pharmacy, LLC enrolled in Medicare?

Yes. Creative Care Pharmacy, LLC is registered in the Medicare PECOS enrollment system.

When is Creative Care Pharmacy, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oklahoma, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Creative Care Pharmacy, LLC accept Medicare assignment for medical equipment?

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

What insurance does Creative Care Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 46 other insurers list Creative Care Pharmacy, 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 Creative Care Pharmacy, LLC was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.