NPIMap

Organization Active NPI

Marietta Discount Pharmacy, Inc

  • Community/Retail Pharmacy
  • Marietta, OK
National Provider Identifier
1235216003
Registry record updated Feb 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
72-4354 Issued in OK
Legal business name
MARIETTA DISCOUNT PHARMACY, INC
Practice address
300 S Highway 77
Marietta, OK 73448-3447
Phone
(580) 276-5555
Fax
(580) 276-5355
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2008

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

Authorized official

Name
Mr. Charles Reid Schnorrenberg, RPHNPI 1114093002
Title
President
Phone
(580) 276-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 72-4354 OK Primary

Addresses

Primary practice location

300 S Highway 77
Marietta, OK 73448-3447

Mailing address

300 S Highway 77
Marietta, OK 73448-3447
Phone (580) 276-5555

Other names 1

  • Marietta Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203120000000",
    "number": "1235216003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HIGHWAY 77",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734483447",
            "telephone_number": "580-276-5555",
            "fax_number": "580-276-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HIGHWAY 77",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734483447",
            "telephone_number": "580-276-5555",
            "fax_number": "580-276-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA DISCOUNT PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-16",
        "status": "A",
        "authorized_official_last_name": "SCHNORRENBERG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-276-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "72-4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marietta Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.