SALLY LAY TO (NPI# 1427387729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427387729 |
| Entity Type | Individual |
| Full Name | SALLY LAY TO |
| Practice Address |
301 N 1st St Bldg 46 Altus OK 73523-5004 |
| Mailing Address |
2415 Lorin Ave South El Monte CA 91733-2744 |
| Practice Telephone | 5804815600 |
| Mailing Telephone | 6267594076 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2011-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60214136 | WA | Pharmacy Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | INT 21323 | CA | Student, Health Care |
| Street Address |
301 N 1ST ST BLDG 46 |
| City | ALTUS |
| State | OK |
| Zip Code | 73523-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578917217 | Brett Tyler Grobman | Family Medicine | 301 N 1st St, Altus, OK 73523-5004 | 2016-04-19 |
| 1932567286 | Michael John-paul Triana | Military Health Care Provider | 301 N 1st St, Altus, OK 73523-5004 | 2016-02-02 |
| 1336554310 | James Robert Campbell IIi | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2014-06-27 |
| 1962742999 | Phillip Tyler Price | Family Medicine | 301 N 1st St, Bldg. 46, Altus, OK 73523-5004 | 2013-02-28 |
| 1801195367 | Joshua Ryan Berg | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2011-03-23 |
| 1023324241 | Alexandra E Hernandez | Dentist | 301 N 1st St, Altus, OK 73523-5004 | 2010-08-25 |
| 1659684520 | Oscar Salas | Military Health Care Provider | 301 N 1st St, Altus, OK 73523-5004 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629440920 | Jessica D'andrea | Psychologist | 209 E Sir Dr., Altus, OK 73523-0000 | 2015-10-26 |
| 1528449642 | Matthew Albright | Family Medicine | 301 N 1st St # 46, Altus, OK 73523-5004 | 2015-06-15 |
| 1093924441 | Wayne Joseph Merback | Pediatrics | 301 N 1st St Bldg 46, Altus Afb, OK 73523-5004 | 2007-05-22 |
| 1366934523 | Andrew James Dimond | Psychologist | 301 N 1st St # 46, Altus, OK 73523-5004 | 2018-06-04 |
| 1578743217 | Jessica Audrey Lotridge | Family Medicine | 301 N 1st St Bldg 46, Altus Afb, OK 73523-5004 | 2007-11-09 |
| 1528204559 | Ryan Luther Buhite | Psychologist | 301 N First Street, 97 Mdos/sgow Bldg 46, Altus Afb, OK 73523-5005 | 2008-12-22 |
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1306489109 | Logan Hunter Price | Pharmacist | 2500 N Main St, Altus, OK 73521-1600 | 2019-10-24 |
| 1437676954 | Justyn Williams | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2017-08-25 |
| 1952857062 | Amber Frazier | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2016-08-29 |
| 1104271808 | Makinzie Oden | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2016-04-30 |
| 1487069860 | Katherine Elizabeth Murray | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2014-06-24 |
| 1255613675 | Jennifer J Earls | Pharmacist | 1132 N Main St, Altus, OK 73521-3122 | 2011-09-12 |
| 1871874073 | Genevieve L Holman | Pharmacist | 1132 N Main St, Altus, OK 73521-3122 | 2011-08-31 |
| 1851671382 | Jon Shelton | Pharmacist | 1132 N Main St, Altus, OK 73521-3122 | 2011-08-29 |
| 1639299639 | Dara Anise Banister | Pharmacist | 1200 E Pecan St, Altus, OK 73521-6141 | 2007-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.