JERRY BENNETT NPI 1821173055

NPI Information

  • NPI: 1821173055
  • Provider Name: JERRY BENNETT
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: JERRYS PHARMACY
  • Address: 221 MAIN STREET
    MOUNTAIN VIEW, OK
    ZIP 73062
  • Phone: (580) 347-2519

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NPI Details

JERRY BENNETT is a community/retail pharmacy pharmacy in Mountain View, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JERRY BENNETT NPI is 1821173055. The provider is registered as an organization entity type.
The provider Is Doing Business As Jerrys Pharmacy.

The provider's business location address is:

221 MAIN STREET
MOUNTAIN VIEW, OK
ZIP 73062-720
Phone: (580) 347-2519
Fax: (580) 347-2319

The provider's authorized official is Jerry Bennett .
The authorized official title is Owner and has the following contact phone number (580) 347-2519.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
53336C0003XPharmacyCommunity/Retail Pharmacy413679OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12072969OTHERPK
20188780001MEDICARE NSC
3100232770AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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