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QUALGEN, LLC
NPI 1669125829
Pharmacy - Compounding Pharmacy in Edmond, OK

Active since January 28, 2022
2217 S FRETZ AVE STE 120, EDMOND, OK 73013(140) 551-8216 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Aug 8, 2023, May 19, 2022 and 1 more (4 updates tracked since 2022).

About Qualgen, Llc NPPES

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

QUALGEN, LLC (NPI 1669125829) is a healthcare organization registered as a compounding pharmacy in Edmond, Oklahoma and active in the NPI registry since January 2022. The organization lists Shaun Riney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669125829
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameQUALGEN, LLC
Location Address2217 S FRETZ AVE STE 120Edmond, OK 73013-3851
Mailing Address301 Enterprise DrEdmond, OK 73013-3918 · (140) 551-8216
Phone(140) 551-8216
Organization SubpartNo
Authorized OfficialShaun RineyCeo · (405) 818-9029
Enumeration DateJanuary 28, 2022
Last NPPES UpdateJanuary 8, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1669125829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X
2217 S FRETZ AVE STE 120, Edmond, OK 73013
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Other Providers at the Same Location NPPES

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

JON CRIS HICKERSON
Pharmacist
2217 S FRETZ AVE STE 120
EDMOND, OK 73013
Oklahoma County (405) 551-8216

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 Qualgen, LLC's NPI number?

The NPI number for Qualgen, LLC is 1669125829. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Qualgen, LLC located?

Qualgen, LLC is located at 2217 S Fretz Ave Ste 120, Edmond, OK 73013. The listed phone number is (140) 551-8216.

What is Qualgen, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Qualgen, LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.