Active NPI
Hunters Green Country Pharmacy LLC
- Long Term Care Pharmacy
- Muskogee, OK
National Provider Identifier
1285056846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 4-6511
- Legal business name
- HUNTERS GREEN COUNTRY PHARMACY LLC
- Doing business as
- Hunters Green Country Pharmacy LLC
- Practice address
- 110 W Martin Luther King St Ste 2D
Muskogee, OK 74401-3351 - Phone
- (918) 913-3652
- Fax
- (918) 683-2185
- NPI assigned
- Jan 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hunter Joe Hogan III, DPH
- Title
- Operations Manager
- Phone
- (405) 418-2929
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 4-6511 | OK | |
| Long Term Care Pharmacy | 3336L0003X | 4-6511 | OK | Primary |
Addresses
Primary practice location
110 W Martin Luther King St Ste 2D
Muskogee, OK 74401-3351
Mailing address
10120 Broadway Ext Ste 200
Oklahoma City, OK 73114-6300
Phone (405) 640-7545
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285056846 | Other | NPI | |
| 3727825 | Other | NCPDP | |
| 4-6511 | Other | OK | STATE LICENSE OK |
| 47420 | Other | OK | OBNDD - BUREAU OF NARCOTICS OK |
| 200536460A | Medicaid | OK | |
| 2143834 | Other | PK |
Other names 1
- Hunters Green Country Pharmacy LLC
National Provider Directory
National Provider DirectoryLocations
110 W Martin Luther King St
Ste 2D
Muskogee, OK 74401
Phone (918) 913-3652
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Oklahoma City, OK
- NPI 1861106080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1285056846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 BROADWAY EXT STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731146300",
"telephone_number": "405-640-7545",
"fax_number": "405-418-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W MARTIN LUTHER KING ST STE 2D",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744013351",
"telephone_number": "918-913-3652",
"fax_number": "918-683-2185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTERS GREEN COUNTRY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-15",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "HOGAN",
"authorized_official_first_name": "HUNTER",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "405-418-2929",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OK",
"license": "4-6511",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "OK",
"license": "4-6511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1285056846",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3727825",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE OK",
"identifier": "4-6511",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OBNDD - BUREAU OF NARCOTICS OK",
"identifier": "47420",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200536460A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2143834",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hunters Green Country Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.