Idabel Express Pharmacy, LLC
Idabel Express Pharmacy, LLC is a healthcare organization registered as Community/Retail Pharmacy in Idabel, OK, holding Type 2 (organization) NPI 1962053843 since 2019. The authorized official on file is Susan Ritter, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962053843 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Idabel Express Pharmacy, LLC |
| Other name | <Unavail> |
| Practice address | 810 SE WASHINGTON ST, Idabel, OK, 74745 |
| Phone | 5802456169 |
| Fax | 5802082372 |
| Enumeration date | 2019-09-23 |
| Last updated in NPPES | 2020-02-04 |
Authorized official
| Name | Susan Ritter |
|---|---|
| Title | Owner |
| Phone | 5808891283 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200875410A | Medicaid | OK | — |
Copy-ready billing details
Provider: Idabel Express Pharmacy, LLC NPI: 1962053843 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 810 SE WASHINGTON ST, Idabel, OK, 74745
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710383690 | Freds Stores of Tennessee Inc | Organization | Community/Retail Pharmacy | Idabel, OK |
| 1013510650 | Danielle Gray | Individual | Pharmacist | Idabel, OK |
Verify this record
Cross-check NPI 1962053843 against the authoritative CMS record: view Idabel Express Pharmacy, 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
Who is the authorized official for Idabel Express Pharmacy, LLC?
What is the NPI number for Idabel Express Pharmacy, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-04.