OLIVER GARY LACKEY (NPI# 1144507492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144507492 |
| Entity Type | Individual |
| Full Name | OLIVER GARY LACKEY |
| Credential | PHARM. D |
| Practice Address |
624 N Main St Fairview OK 73737 |
| Mailing Address |
624 N Main St Fairview OK 73737-1216 |
| Practice Telephone | 5802274000 |
| Practice Fax Number | 5802274003 |
| Mailing Telephone | 5802274000 |
| Mailing Fax Number | 5802274003 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14245 | OK | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 929 W Owen K Garriott Rd, Enid, OK 737015439 | 5802373151 | 5802372564 |
| Street Address |
624 N MAIN ST |
| City | FAIRVIEW |
| State | OK |
| Zip Code | 73737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759679 | Olivers Express Pharmacy LLC | Audiologist-Hearing Aid Fitter | 624 N Main St, Fairview, OK 73737-1216 | 2019-06-14 |
| 1134545999 | Olivers Express Pharmacy LLC | Pharmacy | 624 N Main St, Fairview, OK 73737-1216 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598212664 | Megan Leigh Ewing | Nurse Practitioner | 519 East State Road, Fairview, OK 73737 | 2016-09-07 |
| 1720298524 | Mary Kliewer | Counselor | 1425 N. Main, Suite 1, Fairview, OK 73737 | 2007-05-23 |
| 1861553703 | Dentistry for Today, P.C. | Dentist | 2414a Heritage Trail, Fairview, OK 73737 | 2006-12-13 |
| 1487727699 | State of Oklahoma | Community/Behavioral Health | Northwest Center for Behavioral Health, 1425 N. Main, Suite 1, Fairview, OK 73737 | 2006-11-16 |
| 1174519102 | Fairview Home Health LLC | Home Health | 806 N Main St, Fairview, OK 73737-1004 | 2005-09-26 |
| 1760569073 | Robert A. Marti, D.d.s., A Professional Corporation | Dentist | 917 N Main St, Fairview, OK 73737-1005 | 2006-11-01 |
| 1033579818 | Jana Lyn Hickman | Occupational Therapist | 510 Surrey Ln, Fairview, OK 73737-1006 | 2016-03-07 |
| 1649361403 | Charles C. Nimmo | Pharmacist | 210 E State Rd, Fairview, OK 73737-1326 | 2006-09-27 |
| 1275779159 | Fairview Rx Inc | Pharmacy | 210 E State Rd, Fairview, OK 73737-1326 | 2008-12-26 |
| 1689756488 | G & A Discount Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 210 E State Rd, Fairview, OK 73737-1326 | 2006-10-20 |
| Find all providers in zip 73737 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679024822 | Austin Avrett | Pharmacist | 1185 Charlotte Hwy, Suite L, Fairview, NC 28730-7782 | 2016-10-21 |
| 1346624194 | Md Plus, LLC | Pharmacist | 16 Wild Iris Ln, Fairview, NC 28730-8763 | 2015-07-10 |
| 1902230576 | Janney Han | Pharmacist | 105b 6th St, Fairview, NJ 07022-1954 | 2013-08-30 |
| 1629327929 | Frank Michael Sovec | Pharmacist | 6090 Bridlewood Dr, Fairview, PA 16415-2709 | 2012-08-31 |
| 1902131899 | Robert Milnes II | Pharmacist | 785 Gunton Dr, Fairview, PA 16415-1418 | 2009-10-09 |
| 1942408307 | Carlton John Shea | Pharmacist | 7215 Springside Dr, Fairview, PA 16415-1547 | 2007-07-06 |
| 1912051954 | Barbara Diane Danielson | Pharmacist | 304 S. Ellery, Fairview, MT 59221 | 2007-01-23 |
| 1649361403 | Charles C. Nimmo | Pharmacist | 210 E State Rd, Fairview, OK 73737-1326 | 2006-09-27 |
| 1598773996 | James Marshal Anderson Jr. | Pharmacist | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2006-08-03 |
| 1215547799 | George Alexander Bragg | Pharmacist | 7014 City Center Way, Fairview, TN 37062-6004 | 2020-08-09 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.