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NPI · 1164774709 · NPPES-sourced

Matt's Country Boy Pharmacy LLC

ActivePharmacy
NPI Number
1164774709
Type 2 · Organisation
Taxonomy Code
333600000X
Contact
(405) 390-3205
License OK · 1-6052
Last Updated
Enumerated
Primary practice addressOK · 73020-3516
14890 Se 29th St Ste 108Choctaw, OK 73020-3516
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About this NPIWhat this record shows.

NPI 1164774709 is registered to Matt's Country Boy Pharmacy LLC, a healthcare organisation classified as "Pharmacy" and located at 14890 Se 29th St Ste 108 in Choctaw, Oklahoma. The organisation's authorised official is Matt Evans. The organisation has been enumerated in the NPI registry since 2012.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 2137264· Issued by PK

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Matt's Country Boy Pharmacy LLC accepts. To confirm in-network status with your specific health plan, contact Matt's Country Boy Pharmacy LLC directly at (405) 390-3205.

Frequently asked

Yes. NPI 1164774709 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (405) 390-3205.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Matt's Country Boy Pharmacy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy333600000X
Last updated
Enumerated
StatusActive
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