LARRY SHANE ADAMS (NPI# 1700344587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700344587 |
| Entity Type | Individual |
| Full Name | LARRY SHANE ADAMS |
| Credential | DPH |
| Practice Address |
1308 S Main St Kingfisher OK 73750-4408 |
| Practice Telephone | 4053755400 |
| Practice Fax Number | 4053756333 |
| Mailing Telephone | 4053755400 |
| Mailing Fax Number | 4053756333 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
11557 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PHARMACY LICENSE | 11557 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508998402 | Larry Dean Adams | Dentist | 623 East University Drive, Mesa, AZ 85203-7926 | 2007-03-09 |
| 1962517557 | Larry Robert Adams | Dentist | 5340 Corporate Center Loop, Suite A, Lacey, WA 98503 | 2006-08-21 |
| 1376545046 | Larry E Adams | Dentist | 7730 N Union Blvd Ste 101, Colorado Springs, CO 80920-4075 | 2005-08-12 |
| 1205474442 | Larry George Adams | Pharmacist | 23460 Eden St, Plaquemine, LA 70764-2528 | 2019-12-18 |
| 1689119216 | Larry Stephen Adams Jr. | Counselor | 740 Fletcher St, Cedartown, GA 30125-3249 | 2017-01-06 |
| 1396026720 | Larry Neil Adams | Pharmacist | 12101 Shelbyville Rd, Louisville, KY 40243-1044 | 2011-08-30 |
| 1346533965 | Larry L Adams | Pharmacist | 4519 Richfield Rd, Flint, MI 48506-2017 | 2011-05-17 |
| 1538250303 | Larry Lee Adams | Nuclear Medicine | 722 Newman Rd, New Bern, NC 28562-5238 | 2006-09-27 |
| 1669471454 | Larry E Adams | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2005-07-14 |
| Street Address |
1308 S MAIN ST |
| City | KINGFISHER |
| State | OK |
| Zip Code | 73750-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155386 | Jami Grantz | General Acute Care Hospital | 1000 Kingfisher Reg Hosp Dr, Kingfisher, OK 73750 | 2016-06-15 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1245544246 | Amber Lisette Davis | Occupational Therapist | 500 S. 9th Street, Kingfisher, OK 73750 | 2010-08-02 |
| 1881921310 | Diane Marie Minnis | Dietitian, Registered | 1000 Kingfisher Regional Hospital Dr, Kingfisher, OK 73750 | 2009-11-04 |
| 1366694663 | Shea Nicole Krablin | Speech-Language Pathologist | 401 West Bowman, Kingfisher, OK 73750 | 2008-10-17 |
| 1073719209 | Nathan Kelly Brown | Dentist | 2302 S Frontage Rd, Kingfisher, OK 73750 | 2007-06-25 |
| 1992849996 | Kingfisher Dental Pllc | Dentist | 2302 S. Frontage Rd, Kingfisher, OK 73750 | 2007-02-16 |
| 1942385075 | Ltrx Inc. | Pharmacy | 1308 S. Main Street, Kingfisher, OK 73750 | 2006-10-26 |
| 1497841175 | Gary E Palmer | Chiropractor | 723 S. Main Street, Kingfisher, OK 73750 | 2006-10-04 |
| 1356302947 | Bridget A. Keast | Physician Assistant | 1002 Hospital Drive, Kingfisher, OK 73750 | 2006-03-31 |
| Find all providers in zip 73750 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128957 | Stacy Crystel Gee | Pharmacist | 1007 N Country Club, Ada, OK 74820-2847 | 2020-06-15 |
| 1700345824 | Kermit Eugene Kay | Pharmacist | 5401 N Portland Ave Ste 250, Oklahoma City, OK 73112-2082 | 2019-03-18 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1396133674 | Clayton Herr | Pharmacist | 23 Roka Rdg, Stillwater, OK 74075-1230 | 2015-01-08 |
| 1396086948 | Gerry Oquinn | Pharmacist | 72928 S 330 Rd, Wagoner, OK 74467-9420 | 2013-03-06 |
| 1295001881 | William Dean Balfour-grice | Pharmacist | 301 S. Jt Stites St., Sallisaw, OK 74955 | 2012-03-28 |
| 1558693804 | Brooke Lynn Honey | Pharmacist | 4444 E 41st St Fl 2, Suite A, Tulsa, OK 74135-2527 | 2010-02-10 |
| 1720233422 | Charles Michael Gates | Pharmacist | 3009 Nw Wilson St., Attn: Credentials, Fort Sill, OK 73503-9042 | 2008-11-21 |
| 1982851564 | Gregg Buxton Dalley | Pharmacist | 1400 East Downing, Tahlequah, OK 74464 | 2008-08-26 |
| 1346405784 | Miki Lynn Finnin | Pharmacist | 790 W 147th Pl S, Glenpool, OK 74033-4436 | 2008-07-24 |
| Find all providers with the same taxonomy | ||||
| City | KINGFISHER |
| Zip Code | 73750 |
Please comment or provide details below to improve the information on LARRY SHANE ADAMS.
| 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.