MARIETTA PHARMACY
NPI 1356724157
Pharmacy - Community/Retail Pharmacy in Marietta, OK

Active since June 30, 2015
300 S HIGHWAY 77, MARIETTA, OK 73448(580) 276-5555(580) 276-5355 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2023, Feb 17, 2022, Apr 30, 2018 and 1 more (4 updates tracked since 2016).

About Marietta Pharmacy NPPES

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

MARIETTA PHARMACY (NPI 1356724157) is a healthcare organization registered as a community/retail pharmacy in Marietta, Oklahoma and active in the NPI registry since June 2015. The organization lists Ryan Jay Ritter, Owner, as its authorized official.

NPPES Registry Identity

NPI1356724157
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMARIETTA PHARMACY LLC
Location Address300 S HIGHWAY 77Marietta, OK 73448-3447
Mailing Address744 S Mississippi AveAtoka, OK 74525-3355 · (580) 276-5555 · Fax (580) 276-5355
Fax(580) 276-5355
Organization SubpartNo
Authorized OfficialRyan Jay RitterOwner · (580) 889-3353
Enumeration DateJune 30, 2015
Last NPPES UpdateJune 20, 20234 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1356724157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in OK · 72-7286
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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
300 S HIGHWAY 77, Marietta, OK 73448

Other Names 1

Doing Business AsMarietta Pharmacy

Other Identifiers 3

Medicaid100235740BOK
Other2152842Pk
Medicaid100235740COK

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services24 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
23 services23 patients

Other Providers at the Same Location NPPES 5

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

Pharmacist
300 S HIGHWAY 77
MARIETTA, OK 73448
Pharmacy (Community/Retail Pharmacy)
300 S HIGHWAY 77
MARIETTA, OK 73448
Pharmacist
300 S HIGHWAY 77
MARIETTA, OK 73448
Pharmacist
300 S HIGHWAY 77
MARIETTA, OK 73448
Pharmacist
300 S HIGHWAY 77
MARIETTA, OK 73448

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 Marietta Pharmacy LLC's NPI number?

The NPI number for Marietta Pharmacy LLC is 1356724157. It was assigned to this organization in the NPPES registry on June 30, 2015. The provider is doing business as Marietta Pharmacy.

Where is Marietta Pharmacy LLC located?

Marietta Pharmacy LLC is located at 300 S Highway 77, Marietta, OK 73448. The listed phone number is (580) 276-5555.

What is Marietta Pharmacy LLC's specialty?

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

What insurance does Marietta Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Marietta Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marietta Pharmacy LLC was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.