Prague Grocery, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

312129 Issued in OK

Legal business name

PRAGUE GROCERY, LLC

Doing business as

Beachler's Pharmacy

Practice address

1000 W Main
3301 Nbu
Prague, OK 74864

Phone

(405) 567-4000

Fax

(405) 567-4883

NPI assigned

Oct 13, 2006

Last updated

Aug 11, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PRAGUE GROCERY, LLCAs reported in NPPES

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

Authorized official

Name

Melinda May FisherNPI 1083017198

Title

Pharmacy Manager

Phone

(405) 567-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Beachler's Pharmacy Doing business as
• V & B Pharmacy Former legal business name

Part of

Prague Grocery LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda May Fisher, DPH

  • Pharmacist
  • Prague, OK
  • NPI 1083017198
  NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1306936836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W MAIN",
            "address_2": "3301 NBU",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "74864",
            "telephone_number": "405-567-4000",
            "fax_number": "405-567-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MAIN",
            "address_2": "3301 NBU",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "74864",
            "telephone_number": "405-567-4000",
            "fax_number": "405-567-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAGUE GROCERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAGUE GROCERY, LLC",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "405-567-4000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "312129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachler's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "V & B Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "V & B Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Denny Ray Parton, DO
• Brandy Pelts
• Syretta Nikia Pittman
• Skye Daron Poafpybitty
• Prague Dentistry PLLC
• Prague Healthcare Alliance Inc (Prague Municipal Hospital)
• Prague Healthcare Alliance Inc (Prague Municipal Hospital)
• Prague Healthcare Alliance Inc (Prague Municipal Hospital)
• Prague Healthcare Authority (Prague Memorial Regional Hospital)
• Prague Healthcare Authority (Prague Memorial Regional Hospital)

• Community/Retail Pharmacy in Prague, OK
• Providers in Prague, 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 Aug 11, 2022; 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.