MS. SHANNON JEWELANNA PRUETT D.PH.
NPI 1033118286
Pharmacist in Broken Bow, OK

Active since July 19, 2005
201 S PARK DR, BROKEN BOW, OK 74728(580) 584-6085(580) 584-6088 Get Directions Write a Review

NPPES record last updated: January 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shannon Jewelanna Pruett D.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANNON JEWELANNA PRUETT D.PH. (NPI 1033118286) is an individual pharmacist in Broken Bow, Oklahoma, licensed in Oklahoma (12491) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1033118286
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMS. SHANNON JEWELANNA PRUETTCredential: D.PH.
Location Address201 S PARK DRBroken Bow, OK 74728-4737
Mailing Address692 Old Military RoadBroken Bow, OK 74728-9659 · (580) 584-6089
Fax(580) 584-6088
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateJanuary 31, 2021
NPPES CertifiedJanuary 31, 2021
NPI 1033118286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OK · 12491
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
201 S PARK DR, Broken Bow, OK 74728

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
201 S PARK DR
BROKEN BOW, OK 74728
Pharmacy (Community/Retail Pharmacy)
201 S PARK DR
BROKEN BOW, OK 74728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Pruett's NPI number?

The NPI number for Shannon Pruett is 1033118286. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Shannon Pruett located?

Shannon Pruett practices at 201 S Park Dr, Broken Bow, OK 74728. The listed phone number is (580) 584-6085.

What is Shannon Pruett's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Shannon Pruett was last updated on January 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.