Organization Active NPI

Hunters Green Country Pharmacy LLC

  • Long Term Care Pharmacy
  • Muskogee, OK
National Provider Identifier
1285056846
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
4-6511 Issued in OK
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

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Hunter Joe Hogan III, DPHNPI 1861106080
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1285056846OtherNPI
3727825OtherNCPDP
4-6511OtherOKSTATE LICENSE OK
47420OtherOKOBNDD - BUREAU OF NARCOTICS OK
200536460AMedicaidOK
2143834OtherPK

Other names 1

  • Hunters Green Country Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.