Pruett'S Cut-Rate Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

59-2947 Issued in OK

Legal business name

PRUETT'S CUT-RATE PHARMACY, LLC

Practice address

906 E Main St
Antlers, OK 74523-2808

Phone

(580) 298-5064

Fax

(580) 298-6144

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Ryan Ritter, DPH

Title

Owner/Manager

Phone

(580) 889-0230

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Pruett's Cut Rate Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Jerry Michael Berry, DPH

  • Pharmacist
  • Antlers, OK
  • NPI 1730260696
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1407840366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S MISSISSIPPI AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253355",
            "telephone_number": "580-298-5064",
            "fax_number": "580-298-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E MAIN ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232808",
            "telephone_number": "580-298-5064",
            "fax_number": "580-298-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUETT'S CUT-RATE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "580-889-0230",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "59-2947",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235490B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pruett's Cut Rate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pruett's Cut Rate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mickey Lane Power II
• Jason Price, M. A.
• Katie Price
• Providence Service Corporation
• Providence Service Corporation of Oklahoma
• Michael Christopher Puckett
• Pushmataha County Hospital Authority
• Pushmataha County Hospital Authority
• Quest Mhsa
• Quest Mhsa, LLC

• Community/Retail Pharmacy in Antlers, OK
• Providers in Antlers, 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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.