Larry Shane Adams, DPH

Primary specialty

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

License

11557 Issued in OK

Practice address

1308 S Main St
Kingfisher, OK 73750-4408

Phone

(405) 375-5400

Fax

(405) 375-6333

NPI assigned

Mar 11, 2019

Last updated

Mar 11, 2019By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LTRX Inc.

  dba Dennis' Express Pharmacy

  • Long Term Care Pharmacy
  • Kingfisher, OK
  • NPI 1669279436
  NPD (past)
• LTRX Inc.

  dba Dennis' Express Pharmacy

  • Community/Retail Pharmacy
  • Kingfisher, OK
  • NPI 1942385075
  NPD (past)

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1700344587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S MAIN ST",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737504408",
            "telephone_number": "405-375-5400",
            "fax_number": "405-375-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 S MAIN ST",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737504408",
            "telephone_number": "405-375-5400",
            "fax_number": "405-375-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LARRY",
        "middle_name": "SHANE",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OK",
            "license": "11557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "11557",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DENNISEXP@PLDI.NET",
            "affiliation": "N",
            "endpointDescription": "ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ADDRESS",
            "address_1": "1308 S Main St",
            "city": "Kingfisher",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737504408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Accentra Home Healthcare, LLC (Choice Health at Home- Kingfisher)
• Accentra Home Healthcare, LLC
• Accentra Home Healthcare, LLC
• Air Evac EMS, Inc. (Air Evac Lifeteam)
• Kathryn Elise Cornell Anderson, COTA/L
• Apple Chiropractic PC Inc
• Stephen Arthurs, MD
• Tanner Banks, DDS

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kingfisher, OK
• Providers in Kingfisher, OK by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.