Prague Grocery, LLC
Prague Grocery, LLC is a healthcare organization registered as Community/Retail Pharmacy in Prague, OK, holding Type 2 (organization) NPI 1306936836 since 2006. The authorized official on file is Melinda Fisher, Pharmacy Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1306936836 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prague Grocery, LLC |
| Other name | <Unavail> |
| Parent organization | Prague Grocery, LLC |
| Practice address | 1000 W MAIN, 3301 NBU, Prague, OK, 74864 |
| Phone | 4055674000 |
| Fax | 4055674883 |
| Enumeration date | 2006-10-13 |
| Last updated in NPPES | 2022-08-11 |
Authorized official
| Name | Melinda Fisher |
|---|---|
| Title | Pharmacy Manager |
| Phone | 4055674000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 312129 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100238090A | Medicaid | OK | — |
Copy-ready billing details
Provider: Prague Grocery, LLC NPI: 1306936836 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1000 W MAIN, 3301 NBU, Prague, OK, 74864
Verify this record
Cross-check NPI 1306936836 against the authoritative CMS record: view Prague Grocery, LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Prague Grocery, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-11.