MARIETTA PHARMACY LLC (NPI# 1356724157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356724157 |
| Entity Type | Organization |
| Organization Name | MARIETTA PHARMACY LLC |
| Other Organization Name | MARIETTA PHARMACY |
| Practice Address |
300 S Highway 77 Marietta OK 73448-3447 |
| Mailing Address |
Po Box 868 Atoka OK 74525-0868 |
| Practice Telephone | 5802765555 |
| Practice Fax Number | 5802765355 |
| Mailing Telephone | 5802765555 |
| Mailing Fax Number | 5802765355 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | RYAN JAY RITTER (MANAGER) |
| Authorized Official Telephone | 5808893353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
72-7286 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152842 | 01 |
| Other Name | Type Code |
|---|---|
| Marietta Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912253774 | Marietta Pharmacy LLC | Pharmacy | 8299 W Beaver St Ste 5, Jacksonville, FL 32220-2315 | 2012-07-31 |
| Street Address |
300 S HIGHWAY 77 |
| City | MARIETTA |
| State | OK |
| Zip Code | 73448-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235216003 | Marietta Discount Pharmacy, Inc | Pharmacy | 300 S Highway 77, Marietta, OK 73448-3447 | 2006-11-01 |
| 1780297168 | Mariana Sanchez | Pharmacist | 300 S Highway 77, Marietta, OK 73448-3447 | 2020-08-26 |
| 1942863543 | Janet Hartsell | Pharmacist | 300 S Highway 77, Marietta, OK 73448-3447 | 2019-04-18 |
| 1831252584 | Jenny Hambrick | Pharmacist | 300 S Highway 77, Marietta, OK 73448-3447 | 2006-12-17 |
| 1114093002 | Charles Reid Schnorrenberg | Pharmacist | 300 S Highway 77, Marietta, OK 73448 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992958805 | Christi Lynn Hallum | Counselor | 200 Wanda Street, Marietta, OK 73448 | 2008-10-23 |
| 1831340041 | Shelly Renee Cumberledge | Counselor | 404 E. Pine St, Marietta, OK 73448 | 2008-10-07 |
| 1760528970 | Mental Health Services of Southern Oklahoma | Case Management | 200 Wanda St, Marietta, OK 73448 | 2007-01-29 |
| 1083811871 | Doris Jean Petty | Registered Nurse | 200 Wanda, Marietta, OK 73448 | 2007-06-27 |
| 1295871499 | Mental Health Services of Southern Oklahoma | Clinic/Center | 200 Wanda St, Marietta, OK 73448 | 2007-01-29 |
| 1588866107 | Pamela Rae Lynn | Counselor | 200 Wanda, Marietta, OK 73448-0506 | 2007-06-05 |
| 1912944646 | Love County Health Center | General Acute Care Hospital | 300 Wanda Steet, Marietta, OK 73448-1200 | 2006-06-01 |
| 1649221557 | Love County Health Center | General Acute Care Hospital | 300 Wanda Street, Marietta, OK 73448-1200 | 2006-05-15 |
| 1134179641 | Tad Alan Hall | Physician Assistant | 300 Wanda St, Marietta, OK 73448-1200 | 2006-05-12 |
| 1184080145 | Maria Maynard | Physician Assistant | 300 Wanda St, Marietta, OK 73448-1200 | 2016-01-06 |
| Find all providers in zip 73448 | ||||
| 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 |
|---|---|---|---|---|
| 1558879403 | Marga Pharmacy, Inc | Pharmacy | 2986 Johnson Ferry Rd Ste 116, Marietta, GA 30062-8354 | 2018-01-12 |
| 1457870933 | Concord, Inc | Pharmacy | 4800 Olde Towne Pkwy Ste 120, Marietta, GA 30068-4378 | 2017-09-15 |
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1932477817 | Artem Pharmaceutica LLC | Pharmacy | 595 Roswell St Ne Ste D, Marietta, GA 30060-2163 | 2011-12-07 |
| 1881757482 | Ga Cvs Pharmacy LLC | Pharmacy | 4250 Roswell Rd Ne, Marietta, GA 30062 | 2006-12-18 |
| 1033271333 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 100 Piedmont Rd, Marietta, GA 30066-3636 | 2006-12-14 |
| 1235216003 | Marietta Discount Pharmacy, Inc | Pharmacy | 300 S Highway 77, Marietta, OK 73448-3447 | 2006-11-01 |
| 1811094303 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 3905 Due West Nw Rd, Marietta, GA 30064 | 2006-09-19 |
| 1467556399 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 3930 Shallowford Rd, Marietta, GA 30062-5014 | 2006-09-12 |
| 1962505792 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 684 Cobb Pkwy N, Marietta, GA 30062-3323 | 2006-09-07 |
| Find all providers in MARIETTA | ||||
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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.