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NEWBERRY EXPRESS PHARMACY
NPI 1275762932
Pharmacy in Marlow, OK

Active since July 02, 2009CLIA 37D0956608 · Waiver
801 S BROADWAY ST, MARLOW, OK 73055(580) 658-3784(580) 658-3725 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Newberry Express Pharmacy NPPES

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

NEWBERRY EXPRESS PHARMACY (NPI 1275762932) is a healthcare organization registered as a pharmacy in Marlow, Oklahoma and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Gary Newberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1275762932
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameNEWBERRY EXPRESS PHARMACY-CLINICAL SERVICES
Location Address801 S BROADWAY STMarlow, OK 73055-3433
Mailing Address801 S Broadway StMarlow, OK 73055-3433 · (580) 658-3784 · Fax (580) 658-3725
Phone(580) 658-3784
Fax(580) 658-3725
Organization SubpartNo
Authorized OfficialGary NewberryOwner · (580) 658-6784
Enumeration DateJuly 2, 2009
Last NPPES UpdateJuly 31, 2009
✔ NPI 1275762932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OK · 13-4170
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
801 S BROADWAY ST, Marlow, OK 73055
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Other Names 1

Other NameNewberry Express Pharmacy

Other Identifiers 1

Medicaid100244800AOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0956608

Newberry Express Pharmacy · Marlow, OK
Active · expires Jan 31, 2027
CLIA Number37D0956608
Laboratory TypePharmacy
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorShelley K. Mitchell
Laboratory Phone(580) 658-3784
Laboratory LocationNewberry Express Pharmacy801 S Broadway, Marlow, OK 73055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Newberry Express Pharmacy carries, from the Medicare DMEPOS supplier directory.

Newberry Express Pharmacy

DMEPOS supplier · Marlow, OKOperated by Newberry Express Pharmacy, LLC
✔

Accepts Medicare assignment

Newberry Express Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20576399
Medicare Participant SinceDecember 15, 2005
Supplier Location801 S Broadway StMarlow, OK 73055
Phone(580) 658-3784
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

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

SHELLEY MITCHELL DPH
Pharmacist
801 S BROADWAY ST
MARLOW, OK 73055
Stephens County (580) 658-3784
MIKE KIMBROUGH D.PH.
Pharmacist
801 S BROADWAY ST
MARLOW, OK 73055
Stephens County (580) 658-3784
LAURA JOHNSON DPH
Pharmacist
801 S BROADWAY ST
MARLOW, OK 73055
Stephens County (580) 658-3784
DEBBIE S WORTHAM LPN
Licensed Practical Nurse
801 S BROADWAY ST
MARLOW, OK 73055
Stephens County (580) 658-3784
NEWBERRY EXPRESS PHARMACY, LLC
Pharmacy (Long Term Care Pharmacy)
801 S BROADWAY ST
MARLOW, OK 73055
Stephens County (580) 658-3784
NEWBERRY EXPRESS PHARMACY, LLC
Pharmacy (Community/Retail Pharmacy)
801 S BROADWAY ST
MARLOW, OK 73055
Stephens County (580) 658-3784

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 Newberry Express Pharmacy-Clinical Services's NPI number?

The NPI number for Newberry Express Pharmacy-Clinical Services is 1275762932. It was assigned to this organization in the NPPES registry on July 2, 2009. The provider is also known as Newberry Express Pharmacy.

Where is Newberry Express Pharmacy-Clinical Services located?

Newberry Express Pharmacy-Clinical Services is located at 801 S Broadway St, Marlow, OK 73055. The listed phone number is (580) 658-3784.

What is Newberry Express Pharmacy-Clinical Services's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Newberry Express Pharmacy-Clinical Services accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Newberry Express Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Newberry Express Pharmacy-Clinical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0956608) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newberry Express Pharmacy-Clinical Services was last updated on July 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.