UPTOWN PHARMACY (PRUETT'S OKC)
NPI 1629669874
Pharmacy - Community/Retail Pharmacy in The Village, OK

Active since January 31, 2021
9515 N MAY AVE, THE VILLAGE, OK 73120(405) 286-9080(405) 286-9832 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2021, Jan 31, 2021 (2 updates tracked since 2021).

About Uptown Pharmacy (pruett's Okc) NPPES

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

UPTOWN PHARMACY (PRUETT'S OKC) (NPI 1629669874) is a healthcare organization registered as a community/retail pharmacy in The Village, Oklahoma and active in the NPI registry since January 2021. The organization lists Shannon Jewelanna Pruett, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1629669874
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRUETT'S FOOD, INC.
Location Address9515 N MAY AVEThe Village, OK 73120
Mailing Address210 Main StreetBroken Bow, OK 74728
Fax(405) 286-9832
Organization SubpartYes
Authorized OfficialShannon Jewelanna PruettPharmacy Director · (580) 236-2056
Enumeration DateJanuary 31, 2021
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
NPI 1629669874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
9515 N MAY AVE, The Village, OK 73120

Other Names 1

Doing Business AsUptown Pharmacy (pruett's Okc)

Other Identifiers 1

Medicaid200019990JOK

Accepted Insurance

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.

Pharmacy
9515 N MAY AVE
THE VILLAGE, OK 73120
Pharmacist
9515 N MAY AVE
THE VILLAGE, OK 73120

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 Pruett's Food, Inc.'s NPI number?

The NPI number for Pruett's Food, Inc. is 1629669874. It was assigned to this organization in the NPPES registry on January 31, 2021. The provider is doing business as Uptown Pharmacy (pruett's Okc).

Where is Pruett's Food, Inc. located?

Pruett's Food, Inc. is located at 9515 N May Ave, The Village, OK 73120. The listed phone number is (405) 286-9080.

What is Pruett's Food, Inc.'s specialty?

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

What insurance does Pruett's Food, Inc. accept?

Health plans from Medica and Moda Health Plan, Inc. list Pruett's Food, Inc. 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 Pruett's Food, Inc. was last updated on April 12, 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.