Jinny Ann 4 Corporation
Community/Retail Pharmacy
3252 Se 29th St, Del City
Oklahoma, 73115-1601
405-677-0549 405-672-0369
Jinny Ann 4 Corporation is a Community/Retail Pharmacy in Del City, Oklahoma. It is located at 3252 Se 29th St, Del City and it's customer support contact number is 405-677-0549. The authorized person of Jinny Ann 4 Corporation is John Lassiter who is President of the pharmacy and his contact number is 405-677-0549. Active license number of Jinny Ann 4 Corporation is 13455 for Community/Retail Pharmacy in Oklahoma. Jinny Ann 4 Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jinny Ann 4 Corporation is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Jinny Ann 4 Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jinny Ann 4 Corporation |
| Type: | Community/Retail Pharmacy |
| Location: | 3252 Se 29th St, Del City,
Oklahoma, 73115-1601 |
| Phone: | 405-677-0549 |
| Fax: | 405-672-0369 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | John Lassiter |
| Position: | President |
| Contact Number: | 405-677-0549 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1538266796 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 24 May, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jinny Ann 4 Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 13455 | Oklahoma | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100232680A | Medicaid | Oklahoma | |
| 2081564 | Other | | Pk |
| 100232680B | Medicaid | Oklahoma | |
Medicare Enrollment:
Jinny Ann 4 Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6800799750 | O20040129000196 | Jinny Ann 4 Corporation | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 6800799750 | O20100930078070 | Jinny Ann 4 Corporation | DME SUPPLIER - PHARMACY |
Products Available:
Jinny Ann 4 Corporation has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 15330,
Del City, Oklahoma |
| Zip: | 73155-5330 |
| Phone Number: | -- |
Patients can reach Jinny Ann 4 Corporation at
3252 Se 29th St, Del City, Oklahoma or can
call on customer care at 405-677-0549.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.