GREEN COUNTRY PHARMACY LLC (NPI# 1215137617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215137617 |
| Entity Type | Organization |
| Organization Name | GREEN COUNTRY PHARMACY LLC |
| Other Organization Name | COUNTRY MART PHARMACY |
| Practice Address |
13937 South Hwy 51 Coweta OK 74429 |
| Mailing Address |
Po Box 695 Coweta OK 74429-0695 |
| Practice Telephone | 9182796600 |
| Practice Fax Number | 9182796601 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | BYRAN GREEN (PHCY MANG) |
| Authorized Official Telephone | 9182796600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
38-5218 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200117070A | 05 | |
| PK | 2077136 | 01 |
| Other Name | Type Code |
|---|---|
| COUNTRY MART PHARMACY | Doing Business As Name - Organization |
| Street Address |
13937 SOUTH HWY 51 |
| City | COWETA |
| State | OK |
| Zip Code | 74429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990867 | Leslie Ann Kolmer | Nurse Practitioner | 31870 Ok-51, Coweta, OK 74429 | 2020-07-24 |
| 1033737606 | Redbud Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 12641 S Highway 51, Coweta, OK 74429 | 2020-07-10 |
| 1629604434 | Medwise LLC | Clinic/Center | 11495 S. State Highway 51, Coweta, OK 74429 | 2020-03-13 |
| 1275184657 | Deborah Smith | Technician | 15124 South 241st East Avenue, Coweta, OK 74429 | 2019-09-26 |
| 1457820813 | Jennifer Jean Biffle | Speech-Language Pathologist | 14504 S 302nd E Ave, Coweta, OK 74429 | 2018-11-15 |
| 1942718499 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 607 S. Broadway Street, Coweta, OK 74429 | 2018-01-18 |
| 1437519428 | Advanced Chiropractic & Health | Chiropractor | 30091 E State Hwy 51, Coweta, OK 74429 | 2016-03-03 |
| 1558732867 | Alyssa Barron | Pharmacist | 11207 S. Highway 51, Coweta, OK 74429 | 2015-10-13 |
| 1184005415 | Abigail Carnes | Physical Therapist | 12641 S Hwy 51, Coweta, OK 74429 | 2015-06-11 |
| 1407235039 | Rebecca Vieth | Speech-Language Pathologist | 26954 E 131st St S, Coweta, OK 74429 | 2015-05-28 |
| Find all providers in zip 74429 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588112064 | Nw Coweta LLC | Pharmacy | 12071 S State Highway 51, Coweta, OK 74429-7136 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.