LARRY R DISMORE (NPI# 1235112699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235112699 |
| Entity Type | Organization |
| Organization Name | LARRY R DISMORE |
| Other Organization Name | LARRYS REXALL DRUG |
| Practice Address |
616 E St Snyder OK 73566-1850 |
| Mailing Address |
Po Box 344 Snyder OK 73566-0344 |
| Practice Telephone | 5805692008 |
| Practice Fax Number | 5805694929 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | LARRY DISMONE (OWNER AND PHRMCST) |
| Authorized Official Telephone | 5805692008 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
41-2210 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2073255 | 01 | |
| OK | 100235810A | 05 |
| Other Name | Type Code |
|---|---|
| LARRYS REXALL DRUG | Doing Business As Name - Organization |
| Street Address |
616 E ST |
| City | SNYDER |
| State | OK |
| Zip Code | 73566-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530174 | Lacinda Gayett Sanchez | Physical Therapist | 16483 N. 2300 Rd, Rt 2, Box 29c, Snyder, OK 73566 | 2009-02-10 |
| 1396730966 | Danny L Jones | Physician Assistant | 823 D Street, Snyder, OK 73566 | 2005-09-20 |
| 1740753680 | Detrick Devon Whitehead | Case Manager/Care Coordinator | 307 1/2 2nd St, Snyder, OK 73566-1215 | 2019-01-03 |
| 1316952153 | Ayers Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 801 B St, Snyder, OK 73566-2023 | 2006-07-30 |
| 1790702579 | Comanche County Hospital Authority | Family Medicine | 823 D St, Snyder, OK 73566-2031 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205300 | Amber Maschell Rodriguez | Licensed Practical Nurse | 2103 42nd St, Snyder, TX 79549-6056 | 2020-08-10 |
| 1346891322 | Susan Josephine Hughes | Licensed Practical Nurse | 38 Mount Vernon Rd, Snyder, NY 14226-4314 | 2019-09-22 |
| 1760030126 | Isi Technology Inc | Transportation Broker | 4476 Main St Ste 201, Snyder, NY 14226-4465 | 2019-08-29 |
| 1356908982 | Luciana Muto | Specialist | 75 Four Seasons Rd E, Snyder, NY 14226-4243 | 2019-05-20 |
| 1003472945 | Smiles of Snyder Pllc | Dentist | 5107 College Ave Ste B, Snyder, TX 79549-6275 | 2019-05-16 |
| 1487219432 | Gloria Ester Gonzalez | Counselor | 4006 Irving Ave, Snyder, TX 79549-6314 | 2019-05-06 |
| 1740753680 | Detrick Devon Whitehead | Case Manager/Care Coordinator | 307 1/2 2nd St, Snyder, OK 73566-1215 | 2019-01-03 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1124514393 | Alekhya Patagarla | Dentist | 5107 College Ave Ste 2, Snyder, TX 79549-6277 | 2018-07-10 |
| 1194219923 | Third Wave Psychotherapy | Social Worker | 3960 Harlem Rd Ste 6b, Snyder, NY 14226-4706 | 2018-06-15 |
| Find all providers in SNYDER | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053466078 | Snyder Pharmacy Inc | Pharmacy | 4536 Main Street, Snyder, NY 14226-3828 | 2007-01-23 |
| 1497849251 | Jerry Mcwilliams Pharmacy Inc | Pharmacy | 3706 College Ave, Snyder, TX 79549-4625 | 2006-10-03 |
| 1619071453 | Cvs Pharmacy Inc | Pharmacy | 3611 College Ave, Snyder, TX 79549-4636 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LARRY R DISMORE.
| 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.