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BOOMTOWN DRUG
NPI 1902004112
Pharmacy - Community/Retail Pharmacy in Burkburnett, TX

Active since July 10, 2007
514 S. OKLAHOMA CUTOFF, BURKBURNETT, TX 76354(940) 569-5600(940) 569-5608 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boomtown Drug NPPES

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

BOOMTOWN DRUG (NPI 1902004112) is a healthcare organization registered as a community/retail pharmacy in Burkburnett, Texas and active in the NPI registry since July 2007. The organization lists Cory Gene Fikes, Owner, as its authorized official.

NPPES Registry Identity

NPI1902004112
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFIKES BOOMTOWN DRUG
Location Address514 S. OKLAHOMA CUTOFFBurkburnett, TX 76354
Mailing AddressPo Box 805Burkburnett, TX 76354-0805 · (940) 569-5600 · Fax (940) 569-5608
Phone(940) 569-5600
Fax(940) 569-5608
Organization SubpartNo
Authorized OfficialCory Gene FikesOwner · (940) 569-5600
Enumeration DateJuly 10, 2007
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedApril 29, 2020
✔ NPI 1902004112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 25627
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
514 S. OKLAHOMA CUTOFF, Burkburnett, TX 76354
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Other Names 1

Doing Business AsBoomtown Drug

Other Identifiers 4

Other25627TX · State License #
Medicaid200114870AOK
Other4545351TX · Ncpdp Number
Medicaid145823TX

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)

Boomtown Drug is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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
StateTexasEnrollment IDO20100930098233DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.
161 services159 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.
150 services150 patients

Other Providers at the Same Location NPPES 3

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

MRS. ZERLINA RUTH LEAVELLE CPHT
Pharmacy Technician
514 S. OKLAHOMA CUTOFF
BURKBURNETT, TX 76354
Wichita County (940) 569-5600
FIKES BOOMTOWN DRUG, INC.
Durable Medical Equipment & Medical Supplies
514 S. OKLAHOMA CUTOFF
BURKBURNETT, TX 76354
Wichita County (940) 569-5600
BRYAN WILLIAM HARRISON PHARM D.
Pharmacist
514 S. OKLAHOMA CUTOFF
BURKBURNETT, TX 76354
Wichita County (940) 569-5600

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 Fikes Boomtown Drug's NPI number?

The NPI number for Fikes Boomtown Drug is 1902004112. It was assigned to this organization in the NPPES registry on July 10, 2007. The provider is doing business as Boomtown Drug.

Where is Fikes Boomtown Drug located?

Fikes Boomtown Drug is located at 514 S. Oklahoma Cutoff, Burkburnett, TX 76354. The listed phone number is (940) 569-5600.

What is Fikes Boomtown Drug's specialty?

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

Is Fikes Boomtown Drug enrolled in Medicare?

Yes. Fikes Boomtown Drug is registered in the Medicare PECOS enrollment system.

When is Fikes Boomtown Drug's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Texas, Pharmacy) is due for revalidation by January 31, 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.

What insurance does Fikes Boomtown Drug 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 50 other insurers list Fikes Boomtown Drug 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 Fikes Boomtown Drug was last updated on March 7, 2023. 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.