Jack Justice

Jack Justice is a healthcare organization registered as Community/Retail Pharmacy in Pauls Valley, OK, holding Type 2 (organization) NPI 1699772806 since 2005. The authorized official on file is Julie Justice, Authorized Official.

✓ Active NPI ✓ Valid NPI checksum

NPI	1699772806
Entity type	Organization (Type 2)
Legal business name	Jack Justice
Other name	<Unavail>
Practice address	110 A BURR AVE, Pauls Valley, OK, 73075
Phone	4052387391
Fax	4052387357
Enumeration date	2005-07-01
Last updated in NPPES	2024-10-28

Authorized official

Name	Julie Justice
Title	Authorized Official
Phone	4054473911

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
3336C0004X	Compounding Pharmacy	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	22-3755	OK

Other identifiers

Identifier	Type	State	Issuer
2073053	Other	—	PK
100235750A	Medicaid	OK	—

Copy-ready billing details

Provider: Jack Justice
NPI: 1699772806
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 110 A BURR AVE, Pauls Valley, OK, 73075

Verify this record

Cross-check NPI 1699772806 against the authoritative CMS record: view Jack Justice 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

Where is Jack Justice located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-10-28. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-28.