CORY H CARROLL (NPI# 1174147847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174147847 |
| Entity Type | Individual |
| Full Name | CORY H CARROLL |
| Practice Address |
38776 St Hwy 127 Jay OK 74346 |
| Mailing Address |
Po Box 1420 Jay OK 74346-1420 |
| Practice Telephone | 9182537709 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12454 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427060276 | Cory Douglas Carroll | Family Medicine | 1032 Luke St 2, Fort Collins, CO 80524-4037 | 2006-08-12 |
| 1205330875 | Cory R. Carroll | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2018-03-20 |
| Street Address |
38776 ST HWY 127 |
| City | JAY |
| State | OK |
| Zip Code | 74346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859261 | Kathy Jo Jones | Clinic/Center | 34404 S 625 Rd, Jay, OK 74346 | 2020-07-27 |
| 1629602362 | Alexis Noelle Gibe | Case Manager/Care Coordinator | 1015 W Washbourne, Jay, OK 74346 | 2020-03-02 |
| 1659933430 | Team Clinic Management Partners LLC | Clinic/Center | 333 E Dial St, Jay, OK 74346 | 2019-07-02 |
| 1083276869 | Team Clinic Management Partners LLC | Clinic/Center | 386 E Monroe Ave, Jay, OK 74346 | 2019-07-02 |
| 1609347657 | Aimee Rachelle Cherry | Dental Hygienist | Sam Hider Dental Clinic, 859 E Melton Dr., Jay, OK 74346 | 2018-12-16 |
| 1619476686 | Curtis J Atterbury | Physician Assistant | 55731 W 345 Rd, Jay, OK 74346 | 2018-02-06 |
| 1972037950 | Vivian Martin | Physical Therapist | 432 South 9th, Jay, OK 74346 | 2017-04-17 |
| 1407389653 | Chelcci Stapleton | Speech-Language Pathologist | 432 S. 9th St, Jay, OK 74346 | 2017-04-05 |
| 1104361096 | Cheryl Gonzalis | Licensed Practical Nurse | 859 E Melton Dr., Jay, OK 74346 | 2016-12-30 |
| 1891239976 | Destini L Goins | Registered Nurse | 859 E Melton Drive, Jay, OK 74346 | 2016-12-08 |
| Find all providers in zip 74346 | ||||
| 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 |
|---|---|---|---|---|
| 1861633034 | Charles Dale Holcomb | Pharmacist | 1015 Wasbourne, Jay, OK 74346 | 2009-03-17 |
| 1548272578 | Monte Lynn Strutton | Pharmacist | Corner of Osage & Washbourne, Jay, OK 74346-4205 | 2006-08-11 |
| 1336419845 | Kaleb Dewayne Chamberlain | Pharmacist | 1015 W Washbourne St, Jay, OK 74346-4205 | 2012-01-01 |
| 1669604492 | Nicole Rachelle Gibe | Pharmacist | 1015 W Washbourne St, Jay, OK 74346-4205 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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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.