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PRUETT FOODS PHARMACY
NPI 1689673832
Pharmacy - Community/Retail Pharmacy 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: July 26, 2026.

About Pruett Foods Pharmacy NPPES

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

PRUETT FOODS PHARMACY (NPI 1689673832) is a healthcare organization registered as a community/retail pharmacy in Broken Bow, Oklahoma and active in the NPI registry since July 2005. The organization lists Shannon Jewelanna Pruett, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1689673832
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRUETTS FOOD INC
Location Address201 S PARK DRBroken Bow, OK 74728-4737
Mailing Address210 Main StreetBroken Bow, OK 74728-4737 · (580) 584-6056 · Fax (580) 584-6088
Phone(580) 584-6085
Fax(580) 584-6088
Organization SubpartNo
Authorized OfficialShannon Jewelanna PruettPharmacy Director · (580) 584-6089
Enumeration DateJuly 19, 2005
Last NPPES UpdateJanuary 31, 2021
NPPES CertifiedJanuary 31, 2021
✔ NPI 1689673832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OK · 25-6949
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 ListedPharmacyTaxonomy 333600000X
201 S PARK DR, Broken Bow, OK 74728
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Other Names 1

Doing Business AsPruett Foods Pharmacy

Other Identifiers 2

Other2076565Pk
Medicaid200019990AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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.
86 services81 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
84 services79 patients

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.

MS. SHANNON JEWELANNA PRUETT D.PH.
Pharmacist
201 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-6085
KYLE WAYNE GRAY PHARM. D
Pharmacist
201 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-6085

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 Pruetts Food Inc's NPI number?

The NPI number for Pruetts Food Inc is 1689673832. It was assigned to this organization in the NPPES registry on July 19, 2005. The provider is doing business as Pruett Foods Pharmacy.

Where is Pruetts Food Inc located?

Pruetts Food Inc is located at 201 S Park Dr, Broken Bow, OK 74728. The listed phone number is (580) 584-6085.

What is Pruetts 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 Pruetts Food Inc 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 Pruetts 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 Pruetts Food Inc was last updated on January 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.