Larry Wayne Rolston, PHARM.D.
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Esparto, CA
NPI 1003199167 · NPPES record last updated Sep 26, 2011
Key facts
- NPI
- 1003199167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- RPH28265 (CA)
- Practice address
- 24203 County Road 22
Esparto, CA 95627-2119 - Phone
- (530) 787-4444
- Fax
- (530) 787-4455
- NPI assigned
- Sep 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH28265 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH28265 | CA | Yes |
Addresses
Primary practice location
24203 County Road 22
Esparto, CA 95627-2119
Mailing address
24203 County Road 22
Esparto, CA 95627-2119
Phone (530) 787-4444
Other providers in Esparto, CA
- Jennifer Myers
- Kathleen O'Malley
- Summer Rejmankova
- Diana Lizbeth Rodriguez Rivera
- Leslie Kathryn Rohrman
- Rural Innovations in Social Economics, Incorporated
- Nicole Sandoval
- Julia Seebach
- Adrian Gabriel Solis
- Meritsa Esperanza Soria
All providers in Esparto, CA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.