JACK JUSTICE
JACK JUSTICE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1013074111, based in Pauls Valley, OK. The organization lists 3 taxonomy classifications, with Oxygen Equipment & Supplies (DME) recorded as primary.
Getting there
The practice address on file is 110 BURR AVE, Pauls Valley, OK 73075. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 223755 | OK | Durable Medical Equipment & Medical… |
| 223755 | OK | Parenteral & Enteral Nutrition Supplies… |
| 223755 | OK | Oxygen Equipment & Supplies (DME) primary |
This provider holds licence 223755 issued in OK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Pharmacy
- PAC ID
- 9739181348
- Enrollment ID
- O20100930071152
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Pharmacy. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Oxygen Equipment & Supplies covers
Definition to come... NUCC Health Care Provider Taxonomy, code 332BX2000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 223755 | OK | |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) Parenteral & Enteral Nutrition | 223755 | OK | |
| 332BX2000X | Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | 223755 | OK | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1013074111 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 2, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
110 BURR AVE Pauls Valley, OK 73075 (405) 238-7391 Fax (405) 238-1162 |
| Other names |
Reavis Rexall Drug Former Legal Name |
| Other identifiers |
100235750B
· Medicaid (OK) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 1 | 3 | 0 | 7 | 4 | 1 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 2 | 3 | 0 | 7 | 8 | 1 | 2 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.