Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fairfax Pharmacy LLC

Community/Retail Pharmacy in Fairfax, OK · enumerated 2021 · authorized official Kimberly Tilley, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437721008

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Fairfax Pharmacy LLC

Other name <Unavail>

Practice address 400 N Main St, Fairfax, OK, 74637

Phone (918) 642-1200

Fax (918) 642-1202

Enumeration date Jul 13, 2021

Last updated in NPPES Mar 8, 2022

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Kimberly Tilley

Title Owner

Phone (918) 642-1200

Other identifiers

Identifier	Type	State	Issuer
16-9003	Other	OK	STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fairfax Pharmacy LLC located?

The practice location on file with NPPES is in Fairfax, OK.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-08. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Kimberly Tilley Pharmacist · Fairfax, OK NPI 1043642317

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-08.