Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Matt'S Country Boy Pharmacy LLC

Pharmacy in Choctaw, OK · enumerated 2012 · authorized official Matt Evans, Pharmacist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164774709

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Matt'S Country Boy Pharmacy LLC

Other name <Unavail>

Practice address 14890 Se 29th St Ste 108, Choctaw, OK, 73020

Phone (405) 390-3205

Fax (405) 390-2516

Enumeration date Oct 5, 2012

Last updated in NPPES Aug 25, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers · License 1-6052 (OK) Primary

3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Matt Evans

Title Pharmacist/Owner

Phone (405) 390-3205

Other identifiers

Identifier	Type	State	Issuer
2137264	Other	-	PK
200464490A	Medicaid	OK	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Matt'S Country Boy Pharmacy LLC?

Matt'S Country Boy Pharmacy LLC is registered in NPPES as a Pharmacy (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-25.