PRUETTS FOOD INC (NPI# 1235361262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235361262 |
| Entity Type | Organization |
| Organization Name | PRUETTS FOOD INC |
| Other Organization Name | PRUETTS FOOD-PHARMACY |
| Practice Address |
202 W Chappell Dr Valliant OK 74764-9135 |
| Mailing Address |
201 S Park Dr Broken Bow OK 74728-4737 |
| Practice Telephone | 5805846056 |
| Practice Fax Number | 5805846088 |
| Mailing Telephone | 5805846056 |
| Mailing Fax Number | 5805846088 |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | SHANNON PRUETT (PHARMACY MANAGER) |
| Authorized Official Telephone | 5805846056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25-6949 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121548 | 01 | |
| OK | 200019990C | 05 |
| Other Name | Type Code |
|---|---|
| PRUETTS FOOD-PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447661814 | Pruetts Food Inc | Pharmacy | 410 W.l. Doc Dodson West, Naples, TX 75568 | 2014-05-19 |
| 1689673832 | Pruetts Food Inc | Pharmacy | 201 S Park Dr, Broken Bow, OK 74728-4737 | 2005-07-19 |
| 1659648285 | Pruetts Food Inc | Pharmacy | 500 E Collin Raye Dr, De Queen, AR 71832-8048 | 2011-11-28 |
| Street Address |
202 W CHAPPELL DR |
| City | VALLIANT |
| State | OK |
| Zip Code | 74764-9135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003156571 | Paula Beard | Counselor | 701 Nation Rd, Valliant, OK 74764 | 2013-02-21 |
| 1437446127 | Essent Prmc, Lp | Clinic/Center | 514 East Wilson, Valliant, OK 74764 | 2011-07-01 |
| 1841456563 | Amy Causey | Counselor | 300 N Dalton Ave, Valliant, OK 74764 | 2008-08-01 |
| 1093979825 | Sabrina Johnson | Case Manager/Care Coordinator | 300 N Dalton Avenue, Valliant, OK 74764 | 2008-07-10 |
| 1437345105 | Shanna Renell Willoughby | Counselor | 300 N Dalton St, Valliant, OK 74764 | 2007-09-17 |
| 1477768125 | Frank Dewayne Coolbroth II | Counselor | 300 North Dalton, Valliant, OK 74764 | 2007-05-14 |
| 1447464623 | Dionnw Frankum | Counselor | 300 N. Dalton, Valliant, OK 74764 | 2007-05-09 |
| 1104030402 | Valliant House, LLC | Substance Abuse Rehabilitation Facility | 300 N. Dalton Ave, Valliant, OK 74764 | 2007-05-09 |
| 1376757484 | Jason Baker | Counselor | 300 N. Dalton Avenue, Valliant, OK 74764 | 2007-05-09 |
| 1720118276 | Altis Beatrice Rutherford | Counselor | 300 N Dalton, Valliant, OK 74764 | 2007-03-06 |
| Find all providers in zip 74764 | ||||
| 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 |
|---|---|---|---|---|
| 1750470969 | Bolton Drug & Jewelry | Pharmacy | #3 N Dalton, Valliant, OK 74764 | 2006-10-12 |
| 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.