Lauren Jae Chastain, PHARMD
Individual provider Active NPI Pharmacist · Claremore, OK
NPI 1386321024 · NPPES record last updated Jul 4, 2023
Key facts
- NPI
- 1386321024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20056 (OK)
- Practice address
- 101 S Moore Ave
Claremore, OK 74017-5047 - Phone
- (918) 342-6200
- NPI assigned
- Jul 4, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Current |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Locations
84127 Highway 59
Stilwell, OK 74960
Phone (918) 696-3186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20056 | OK | Yes |
Addresses
Primary practice location
101 S Moore Ave
Claremore, OK 74017-5047
Mailing address
84127 Highway 59
Stilwell, OK 74960-4257
Phone (918) 696-3186
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2023. 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.