DR. RUSSELL BRYANT KERN (NPI# 1841534138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841534138 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL BRYANT KERN |
| Credential | PHARM.D. |
| Practice Address |
101 S Moore Ave Claremore OK 74017-5047 |
| Practice Telephone | 9183426656 |
| Mailing Telephone | 9183426656 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15194 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PHARMACY LICENSE NUMBER | 15194 | 01 |
| Street Address |
101 S MOORE AVE |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478251 | Jeneva Sue Arnold I | Pharmacist | 101 S Moore Ave, Claremore, OK 74017-5047 | 2005-06-28 |
| 1063021483 | Jenilee Skidmore | Advanced Practice Midwife | 101 S Moore Ave, Claremore, OK 74017-5047 | 2020-07-31 |
| 1598382582 | Ashley Nicole Patterson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2020-06-25 |
| 1588200190 | Andrea K Rake | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1396381901 | Megan Campbell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1750922704 | Laura Anne Blackwood | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-10-01 |
| 1801437868 | Victoria Lynn Sanders | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-10-01 |
| 1720629884 | Timothy Dewayne Cordell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-30 |
| 1417508003 | Jonathan Edward Martin | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-25 |
| 1700437449 | Micah Taylor | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245545623 | Donnie L Hodge | Pharmacist | 101 S Moore Ave, Claremore, OK 74017-5047 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128957 | Stacy Crystel Gee | Pharmacist | 1007 N Country Club, Ada, OK 74820-2847 | 2020-06-15 |
| 1700345824 | Kermit Eugene Kay | Pharmacist | 5401 N Portland Ave Ste 250, Oklahoma City, OK 73112-2082 | 2019-03-18 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1396133674 | Clayton Herr | Pharmacist | 23 Roka Rdg, Stillwater, OK 74075-1230 | 2015-01-08 |
| 1396086948 | Gerry Oquinn | Pharmacist | 72928 S 330 Rd, Wagoner, OK 74467-9420 | 2013-03-06 |
| 1295001881 | William Dean Balfour-grice | Pharmacist | 301 S. Jt Stites St., Sallisaw, OK 74955 | 2012-03-28 |
| 1558693804 | Brooke Lynn Honey | Pharmacist | 4444 E 41st St Fl 2, Suite A, Tulsa, OK 74135-2527 | 2010-02-10 |
| 1720233422 | Charles Michael Gates | Pharmacist | 3009 Nw Wilson St., Attn: Credentials, Fort Sill, OK 73503-9042 | 2008-11-21 |
| 1982851564 | Gregg Buxton Dalley | Pharmacist | 1400 East Downing, Tahlequah, OK 74464 | 2008-08-26 |
| 1346405784 | Miki Lynn Finnin | Pharmacist | 790 W 147th Pl S, Glenpool, OK 74033-4436 | 2008-07-24 |
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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.