Pruett'S Food, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRUETT'S FOOD, INC.

Doing business as

Buy for Less Pharmacy (Pruett's Lake Hefner)

Practice address

3501 NW Expressway
Oklahoma City, OK 73112

Phone

(405) 946-6386

Fax

(405) 948-4056

NPI assigned

Jan 31, 2021

Organization subpart

Yes

Parent organization

PRUETT'S FOOD, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Jewelanna Pruett

Title

Pharmacy Director

Phone

(580) 236-2056

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buy for Less Pharmacy (Pruett's Lake Hefner) Doing business as

Part of

Pruetts Food Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1174114326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN STREET",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "74728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-946-6386",
            "fax_number": "405-948-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUETT'S FOOD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRUETT'S FOOD, INC.",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "JEWELANNA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "580-236-2056"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019990I",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buy for Less Pharmacy (Pruett's Lake Hefner)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buy for Less Pharmacy (Pruett's Lake Hefner)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Provision Cares Proton Center Okc, LLC
• Provision Medical Supplies, Inc.
• Jessica Rae Provost, APRN
• Maria Gabriella Prudhomme, NP
• Geoffrey Allen Pruett, D.M.D.
• Aubrey Leigh Pruitt
• Garland Pruitt
• Margarette Pruitt, MD
• Megan Pruitt, MSW
• Meredith Pruitt, PA-C

• Community/Retail Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.