MEDICARE: JIMS TOWER PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	12583	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2074120	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700922317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JIMS TOWER PHARMACY INC

Provider Business Mailing Address
First Line	:	1024 SW 44TH ST STE 700
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3618
Country	:	US
Telephone Number	:	405-631-9625
Fax Number	:	405-632-5268

Provider Business Practice Location Address
First Line	:	1024 SW 44TH ST STE 700
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3618
Country	:	US
Telephone Number	:	405-631-9625
Fax Number	:	405-632-5268

Authorized Official
Title or Position	:	OWNER AND PHARMACIST
Name	:	JIM BRAKEBILL
Credential	:
Telephone Number	:	405-631-9625

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	09/19/2025

Similar Medicare Providers

1669863973 — PAMELA WANGIA NJIKAM RPH
Practice Location Address:

1024 SW 44TH ST STE 700
OKLAHOMA CITY, OK
73109-3618

Practice Phone: 405-632-0519
Practice Fax: 405-632-0503

1205227519 — PRIME RX PHARMACY LLC
Practice Location Address:

1024 SW 44TH ST STE 700
OKLAHOMA CITY, OK
73109-3618

Practice Phone: 405-632-0519
Practice Fax: 405-632-0503

1528942802 — EXPRESS DRUG LLC
Practice Location Address:

1024 SW 44TH ST STE 700
OKLAHOMA CITY, OK
73109-3618

Practice Phone: 405-631-9625
Practice Fax:

1962487405 — MRS. BARBARA ANN MINETTE LPC
Practice Location Address:

7187 S 1700 E
SALT LAKE CITY, UT
84121-3618

Practice Phone: 801-270-6523
Practice Fax:

1942246830 — DR. SUSANNAH B GARIEPY AU.D.
Practice Location Address:

4714 LAKE CHARLES WAY N
KENNETH CITY, FL
33709-3618

Practice Phone: 727-504-7070
Practice Fax: 727-767-8998

1134298797 — DR. TERRANCE JOSEPH MCDONALD D.C.
Practice Location Address:

351 N 1ST AVE
IOWA CITY, IA
52245-3618

Practice Phone: 319-338-7597
Practice Fax: 319-338-7598

Directions to “JIMS TOWER PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.