Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jack Justice

Community/Retail Pharmacy in Pauls Valley, OK · enumerated 2005 · authorized official Julie Justice, Authorized Official.

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

National Provider Identifier

1699772806

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Jack Justice

Other name <Unavail>

Practice address 110 A Burr Ave, Pauls Valley, OK, 73075

Phone (405) 238-7391

Fax (405) 238-7357

Enumeration date Jul 1, 2005

Last updated in NPPES Oct 28, 2024

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 22-3755 (OK) Primary

3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Julie Justice

Title Authorized Official

Phone (405) 447-3911

Other identifiers

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

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 → Validate an NPI →

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 2026-07-13. Provider record last updated 2024-10-28.