LISA FILLMORE (NPI# 1699855296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699855296 |
| Entity Type | Individual |
| Full Name | LISA FILLMORE |
| Practice Address |
1007 N Country Club Rd Ada OK 74820-2847 |
| Mailing Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Practice Telephone | 5804216260 |
| Practice Fax Number | 5805590610 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9926 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OK LICENSE | 9926 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275646085 | Lisa Fillmore | Psychiatry & Neurology | 60 Washington Ave, Suite 304, Hamden, CT 06518 | 2006-08-16 |
| Street Address |
1007 N COUNTRY CLUB RD |
| City | ADA |
| State | OK |
| Zip Code | 74820-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649627332 | Lisa Young | Registered Nurse | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2016-05-23 |
| 1710249628 | Sovereign Pharmacy Solutions LLC | Pharmacy | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2012-06-15 |
| 1538450689 | Sovereign Family Clinic, LLC | Clinic/Center | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2011-04-25 |
| 1215052675 | Chickasaw Nation Division of Health | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2007-03-21 |
| 1962563148 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-12 |
| 1871664318 | Tara Stick | Pharmacy Technician | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-11-13 |
| 1851462303 | Hugh Work | Pharmacist | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-11-13 |
| 1922189810 | Laura Prince | Pharmacy Technician | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-18 |
| 1760563050 | Dolores Higdon | Pharmacy Technician | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1154928166 | Jonathan Keith Willett | Pharmacist | 1904 Carl Albert Blvd Ste A, Ada, OK 74820-3493 | 2020-10-02 |
| 1750915542 | May Alsayab | Pharmacist | 670 Highbury Ct Se, Ada, MI 49301-7734 | 2020-03-02 |
| 1679061022 | Zachary Woods | Pharmacist | 525 S Main St Unit 1, Ada, OH 45810-1599 | 2018-05-01 |
| 1326568924 | Beverly Smith | Pharmacist | 1201 Arlington St Ste B, Ada, OK 74820-4072 | 2017-06-23 |
| 1588017099 | Gregory James Metternich | Pharmacist | 10320 Deer Creek Dr Se, Ada, MI 49301-8451 | 2016-07-20 |
| 1285041061 | Meredith Green | Pharmacist | 920 Cypress Dr, Ada, OK 74820-8486 | 2014-07-14 |
| 1578810149 | Jacob L Holt | Pharmacist | 1005 Arlington, Ada, OK 74820 | 2012-08-13 |
| 1255454492 | Edmond Chin | Pharmacist | 401 W College Ave Apt 17, Ada, OH 45810-1399 | 2007-04-10 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| Find all providers in ADA | ||||
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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.