Active NPI
Rjrx3 LLC
Doing business as Heritage Pharmacy
- Community/Retail Pharmacy
- Kingfisher, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 54-8007
- Legal business name
- RJRX3 LLC
- Doing business as
- Heritage Pharmacy
- Practice address
- 1309 S Main St
Kingfisher, OK 73750-4402 - Phone
- (405) 375-6300
- Fax
- (405) 375-6340
- NPI assigned
- Nov 2, 2017
- Last updated
- Sep 19, 2025
- 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
- Ryan Ritter
- Title
- Owner and Manager
- Phone
- (580) 889-3353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 54-8007 | OK | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
1309 S Main St
Kingfisher, OK 73750-4402
Mailing address
744 S Mississippi Ave
Atoka, OK 74525-3355
Phone (405) 375-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200740440A | Medicaid | OK | |
| 200740440B | Medicaid | OK | |
| 2172251 | Other | PK |
Other names 1
- Heritage Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180814004075 | OK | DME Supplier - Pharmacy | 6800145582 | Practice locations: Kingfisher, OK |
| O20200605000586 | OK | Part B Supplier - Pharmacy | 6800145582 | Practice locations: Kingfisher, OK |
National Provider Directory
National Provider DirectoryLocations
744 S Mississippi Ave
Ste B
Atoka, OK 74525
1309 S Main St
Kingfisher, OK 73750
Phone (405) 375-6300
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Pharmacist
- Atoka, OK
- NPI 1740365972
-
- Pharmacist
- Kingfisher, OK
- NPI 1154716140
-
- Pharmacy Technician
- Kingfisher, OK
- NPI 1902727811
-
- Pharmacist
- Kingfisher, OK
- NPI 1629632369
-
- Pharmacy Technician
- Kingfisher, OK
- NPI 1699696575
-
- Pharmacist
- Kingfisher, OK
- NPI 1457901159
-
- Pharmacist
- Kingfisher, OK
- NPI 1558668616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1962914622",
"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": "405-375-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 S MAIN ST",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737504402",
"telephone_number": "405-375-6300",
"fax_number": "405-375-6340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RJRX3 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-02",
"last_updated": "2025-09-19",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "RITTER",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER AND MANAGER",
"authorized_official_telephone_number": "580-889-3353"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "54-8007",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200740440A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200740440B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2172251",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Heritage Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingfisher, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.