Boomer Solutions LLC
Boomer Solutions LLC is a healthcare organization registered as Long Term Care Pharmacy in Eufaula, OK, holding Type 2 (organization) NPI 1477876159 since 2010. The authorized official on file is Kyle Simmons, Pharmacy Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477876159 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boomer Solutions LLC |
| Other name | <Unavail> |
| Practice address | 310 S 1ST ST, Eufaula, OK, 74432 |
| Phone | 8777743706 |
| Fax | 8888522946 |
| Enumeration date | 2010-03-09 |
| Last updated in NPPES | 2015-12-02 |
Authorized official
| Name | Kyle Simmons |
|---|---|
| Title | Pharmacy Manager |
| Phone | 8777743706 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Primary | 48-6828 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124945 | Other | — | PK |
| 200286150A | Medicaid | OK | — |
Copy-ready billing details
Provider: Boomer Solutions LLC NPI: 1477876159 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 310 S 1ST ST, Eufaula, OK, 74432
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083084768 | Guardian Pharmacy of Oklahoma LLC | Organization | Long Term Care Pharmacy | Eufaula, OK |
| 1629661277 | Vicki Berry | Individual | Pharmacist | Eufaula, OK |
| 1992476782 | Tanner Corsini | Individual | Pharmacist | Eufaula, OK |
Verify this record
Cross-check NPI 1477876159 against the authoritative CMS record: view Boomer Solutions LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Boomer Solutions LLC?
What is the NPI number for Boomer Solutions LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2015-12-02.