1. Home
  2. Directory
  3. Oklahoma
  4. Shattuck
  5. Pharmacy
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHATTUCK PHARMACY MANAGEMENT INC
NPI 1720163959
Pharmacy - Community/Retail Pharmacy in Shattuck, OK

Active since October 26, 2006
1604 S MAIN ST, SHATTUCK, OK 73858(580) 938-2854(580) 938-2888 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Aug 16, 2016, Aug 10, 2016 (3 updates tracked since 2016).

About Shattuck Pharmacy Management Inc NPPES

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

SHATTUCK PHARMACY MANAGEMENT INC (NPI 1720163959), doing business as Medic Pharmacy & Gifts, is a healthcare organization registered as a community/retail pharmacy in Shattuck, Oklahoma and active in the NPI registry since October 2006. The organization lists Kyle Johnson, Pic, as its authorized official.

NPPES Registry Identity

NPI1720163959
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHATTUCK PHARMACY MANAGEMENT INC
Location Address1604 S MAIN STShattuck, OK 73858-9226
Mailing Address1604 S Main St, Po Box 99Shattuck, OK 73858-9226 · (580) 938-2854 · Fax (580) 938-2888
Phone(580) 938-2854
Fax(580) 938-2888
Organization SubpartNo
Authorized OfficialKyle JohnsonPic · (580) 938-2854
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1720163959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OK · 75-5618
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1604 S MAIN ST, Shattuck, OK 73858
Open in Google Maps ↗

Other Names 1

Doing Business AsMedic Pharmacy & Gifts

Other Identifiers 2

Medicaid100243730AOK
Other2074859Pk

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 ›

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.

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.
73 services73 patients
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.
73 services73 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Medic Pharmacy & Gifts carries, from the Medicare DMEPOS supplier directory.

Medic Pharmacy & Gifts

DMEPOS supplier · Shattuck, OKOperated by Shattuck Pharmacy Management Inc
✔

Accepts Medicare assignment

Medic Pharmacy & Gifts 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)20601353
Medicare Participant SinceFebruary 19, 2003
Supplier Location1604 S Main StShattuck, OK 73858
Phone(580) 938-2854
Supplier Specialties
Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Wheelchairs (Standard Manual)
Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Shattuck Pharmacy Management Inc's NPI number?

The NPI number for Shattuck Pharmacy Management Inc is 1720163959. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Medic Pharmacy & Gifts.

Where is Shattuck Pharmacy Management Inc located?

Shattuck Pharmacy Management Inc is located at 1604 S Main St, Shattuck, OK 73858. The listed phone number is (580) 938-2854.

What is Shattuck Pharmacy Management Inc's specialty?

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

Does Shattuck Pharmacy Management Inc accept Medicare assignment for medical equipment?

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

What insurance does Shattuck Pharmacy Management Inc 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 52 other insurers list Shattuck Pharmacy Management 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 Shattuck Pharmacy Management Inc was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.