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COUNTRY MART PHARMACY
NPI 1215137617
Pharmacy - Community/Retail Pharmacy in Coweta, OK

Active since July 23, 2007
13937 SOUTH HWY 51, COWETA, OK 74429(918) 279-6600(918) 279-6601 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Mart Pharmacy NPPES

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

COUNTRY MART PHARMACY (NPI 1215137617) is a healthcare organization registered as a community/retail pharmacy in Coweta, Oklahoma and active in the NPI registry since July 2007. The organization lists Byran Green, Phcy Mang, as its authorized official.

NPPES Registry Identity

NPI1215137617
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREEN COUNTRY PHARMACY LLC
Location Address13937 SOUTH HWY 51Coweta, OK 74429
Mailing AddressPo Box 695Coweta, OK 74429-0695
Phone(918) 279-6600
Fax(918) 279-6601
Organization SubpartNo
Authorized OfficialByran GreenPhcy Mang · (918) 279-6600
Enumeration DateJuly 23, 2007
Last NPPES UpdateJuly 29, 2016
✔ NPI 1215137617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OK · 38-5218
Definition
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.
13937 SOUTH HWY 51, Coweta, OK 74429
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Other Names 1

Doing Business AsCountry Mart Pharmacy

Other Identifiers 2

Other2077136Pk
Medicaid200117070AOK

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 Green Country Pharmacy LLC's NPI number?

The NPI number for Green Country Pharmacy LLC is 1215137617. It was assigned to this organization in the NPPES registry on July 23, 2007. The provider is doing business as Country Mart Pharmacy.

Where is Green Country Pharmacy LLC located?

Green Country Pharmacy LLC is located at 13937 South Hwy 51, Coweta, OK 74429. The listed phone number is (918) 279-6600.

What is Green Country Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Green Country Pharmacy LLC was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.