PRUETT'S FOOD-PHARMACY#10
NPI 1699205575
Pharmacy - Community/Retail Pharmacy in Ada, OK

Q: What is Pruett's Food, Inc.'s NPI number?

The NPI number for Pruett's Food, Inc. is 1699205575. It was assigned to this organization in the NPPES registry on June 14, 2017. The provider is doing business as Pruett's Food-Pharmacy#10.

Q: 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.

Active since June 14, 2017

1601 N BROADWAY AVE, ADA, OK 74820(580) 436-0900(580) 332-2541 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2021, Jun 28, 2020, Jun 14, 2017 (3 updates tracked since 2017).

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About Pruett's Food-pharmacy#10 NPPES

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

PRUETT'S FOOD-PHARMACY#10 (NPI 1699205575) is a healthcare organization registered as a community/retail pharmacy in Ada, Oklahoma and active in the NPI registry since June 2017. The organization lists Shannon Pruett, Pharmacy Supervisor, as its authorized official.

NPPES Registry Identity

NPI1699205575

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePRUETT'S FOOD, INC.

Location Address1601 N BROADWAY AVEAda, OK 74820-1403

Mailing Address210 Main StBroken Bow, OK 74728-3976 · (580) 584-6056

Phone(580) 436-0900

Fax(580) 332-2541

Organization SubpartNo

Authorized OfficialShannon PruettPharmacy Supervisor · (580) 584-6056

Enumeration DateJune 14, 2017

Last NPPES UpdateNovember 28, 20213 updates tracked since enumeration

NPPES CertifiedNovember 28, 2021

✔ NPI 1699205575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPharmacyTaxonomy 333600000X · License 237926 (OK)

1601 N BROADWAY AVE, Ada, OK 74820

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Other Names 1

Doing Business AsPruett's Food-pharmacy#10

Other Identifiers 2

Medicaid200019990HOK

Other2169412Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Humana, Medica 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.

25 services24 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.

24 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.

MYHEALTH GROUP

Family Medicine