Carson Andrew McLain, PHARMD
Individual provider Active NPI Pharmacist · Blanchard, OK
NPI 1457026510 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1457026510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19308 (OK)
- Practice address
- 301 NE 10TH St
Blanchard, OK 73010-9817 - Phone
- (405) 485-9311
- Fax
- (405) 485-9312
- NPI assigned
- Aug 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 19308 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharm Blanchard Acquisition LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19308 | OK | Yes |
Addresses
Primary practice location
301 NE 10TH St
Blanchard, OK 73010-9817
Mailing address
PO Box 2090
Blanchard, OK 73010-2090
Phone (405) 485-9311
Other providers in Blanchard, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. 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.