PRUETT'S FOOD, INC. (NPI# 1104461532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104461532 |
| Entity Type | Organization |
| Organization Name | PRUETT'S FOOD, INC. |
| Other Organization Name | PRUETT'S DISCOUNT PHARMACY |
| Practice Address |
101 W. Main Lockesburg AR 71846 |
| Mailing Address |
210 Main St Broken Bow OK 74728-3976 |
| Practice Telephone | 5802362056 |
| Mailing Telephone | 5802362056 |
| Mailing Fax Number | 5805846088 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | SHANNON PRUETT (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 5802362056 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRUETT'S FOOD, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Pruett's Discount Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558881623 | Pruett's Food, Inc. | Pharmacy | 203 E Highway St, Holdenville, OK 74848-4011 | 2017-06-21 |
| 1467972539 | Pruett's Food, Inc. | Pharmacy | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2017-06-21 |
| 1881124766 | Pruett's Food, Inc. | Pharmacy | 1231 N Washington Ave, Durant, OK 74701-2119 | 2017-06-14 |
| 1699205575 | Pruett's Food, Inc. | Pharmacy | 1601 N Broadway Ave, Ada, OK 74820-1403 | 2017-06-14 |
| Street Address |
101 W. MAIN |
| City | LOCKESBURG |
| State | AR |
| Zip Code | 71846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190496 | Kathleen Grace Rosenbaum | Occupational Therapy Assistant | 165 Johnson Cir, Lockesburg, AR 71846-9032 | 2019-02-12 |
| 1598246472 | Jacqueline Wenona Angerbauer | Physical Therapy Assistant | 245 Thornton Rd, Lockesburg, AR 71846-9406 | 2018-08-28 |
| 1013498898 | Sasha Lynn Sain | Registered Nurse | 4131 Highway 71, Lockesburg, AR 71846-9417 | 2018-08-28 |
| 1124584503 | Jessica Houser | Nurse Practitioner | 105 S Park Ave, Lockesburg, AR 71846-9629 | 2019-02-11 |
| 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 |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1215557905 | Medman23, Inc | Pharmacy | 3201 Springhill Dr Ste 110, North Little Rock, AR 72117-2910 | 2020-04-22 |
| 1336768985 | Harps Food Stores, Inc | Pharmacy | 611 Highway 62 65 N, Harrison, AR 72601-2208 | 2020-04-14 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1326674870 | Caraway Drug L.l.c | Pharmacy | 106 W. State Street, Caraway, AR 72419 | 2020-03-17 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| 1619519436 | Donna Ring Corporation | Pharmacy | 138 S 2nd, Piggott, AR 72454 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | LOCKESBURG |
| Zip Code | 71846 |
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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.