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Puckett Food Stores Inc

Community/Retail Pharmacy in Mangum, OK · enumerated 2005 · authorized official Victoria Brooks, Pharmacy Manager.

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

National Provider Identifier

1821083809

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Puckett Food Stores Inc
Other name <Unavail>
Practice address 101 N Louis Tittle Ave, Mangum, OK, 73554
Fax (580) 782-9280
Enumeration date Sep 15, 2005
Last updated in NPPES Dec 16, 2019

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 60-5307 (OK) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Victoria Brooks
Title Pharmacy Manager

Other identifiers

Identifier Type State Issuer
2073882 Other - PK
100235110B 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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-16. Verify at npiregistry.cms.hhs.gov.
Where is Puckett Food Stores Inc located?
The practice location on file with NPPES is in Mangum, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-16.