Larry Wayne Rolston, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH28265 Issued in CA

Practice address

24203 County Road 22
Esparto, CA 95627-2119

Phone

(530) 787-4444

Fax

(530) 787-4455

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1003199167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24203 COUNTY ROAD 22",
            "city": "ESPARTO",
            "state": "CA",
            "postal_code": "956272119",
            "telephone_number": "530-787-4444",
            "fax_number": "530-787-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24203 COUNTY ROAD 22",
            "city": "ESPARTO",
            "state": "CA",
            "postal_code": "956272119",
            "telephone_number": "530-787-4444",
            "fax_number": "530-787-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLSTON",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "RPH28265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Myers, M.A., CCC-SLP
• Kathleen O'Malley
• Summer Rejmankova, RN
• Diana Lizbeth Rodriguez Rivera, MS
• Leslie Kathryn Rohrman, RN
• Rural Innovations in Social Economics, Incorporated (RISE, Inc.)
• Nicole Sandoval
• Julia Seebach
• Adrian Gabriel Solis
• Meritsa Esperanza Soria

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Esparto, CA
• Providers in Esparto, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.