Southern Oklahoma Mental Health and Institutional Pharmacy
NPI 1972674141ActiveOrganization· Pharmacy, Specialty Pharmacy· Pauls Valley, OK
Pharmacy, Specialty Pharmacy in Pauls Valley, Oklahoma, registered in NPPES in November 2006. The authorized official on file is Jack Lee Justice, DPH, Owner.
Overview
| NPI | 1972674141 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | 225038 | OK |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 225038 | OK |
| Pharmacy, Mail Order Pharmacy | 3336M0002X | 225038 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|