DR. KRYSTIN LORG I (NPI# 1689224453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689224453 |
| Entity Type | Individual |
| Full Name | DR. KRYSTIN LORG I |
| Credential | PHARMD |
| Practice Address |
224 S Chestnut Ave Moore OK 73160-5223 |
| Mailing Address |
15400 Turtle Lake Pl Oklahoma City OK 73165-5604 |
| Practice Telephone | 4058088400 |
| Mailing Telephone | 4058088400 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
14691 | OK | Pharmacy Service Providers |
| Street Address |
224 S CHESTNUT AVE |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685852 | Dessirea Knox | Dietetic Technician, Registered | 224 S Chestnut Ave, Moore, OK 73160-5223 | 2020-10-01 |
| 1942810197 | Kristin Holetzky | Family Medicine | 224 S Chestnut Ave, Moore, OK 73160-5223 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457915985 | Jennifer Sipols | Pharmacist | 800 Ne 10th St Ste 3001, Oklahoma City, OK 73104-5418 | 2019-04-30 |
| 1790124816 | Ashley Lynn Carder | Pharmacist | 13404 Rock Canyon Rd, Oklahoma City, OK 73142-7412 | 2013-06-21 |
| 1073804753 | Julie Whitmire | Pharmacist | Hwy 56 & Hwy 270 Jct, Wewoka, OK 74884-1475 | 2011-04-28 |
| 1689886665 | Michelle Dianne Liedtke | Pharmacist | Ou College of Pharmacy, 1110 N. Stonewall Ave, Cpb 206, Oklahoma City, OK 73117-1223 | 2007-05-04 |
| 1578785564 | Tracy Marie Hagemann | Pharmacist | 1110 N. Stonewall Avenue, Suite 220, Oklahoma City, OK 73117-7311 | 2007-05-02 |
| 1184846917 | Robert Christopher Rathbun | Pharmacist | Ouhsc College of Pharmacy, 1110 N. Stonewall, Rm 206, Oklahoma City, OK 73117 | 2007-05-02 |
| 1265579676 | Kimi S Vesta | Pharmacist | 16428 Grace Ann Ct, Edmond, OK 73013-3286 | 2007-02-01 |
| 1609920065 | John Glen Bearden | Pharmacist | 2301 S Eight Tribes Trl, Miami, OK 74354-1009 | 2007-01-23 |
| 1215013180 | Rickey Reynolds | Pharmacist | 4300 Mowway Road, Fort Sill, OK 73503 | 2006-10-31 |
| 1801970918 | Leslye S Trachte | Pharmacist | 4300 Thomas Street, Population Health Clinic, Ft Sill, OK 73503 | 2006-10-25 |
| 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.