KELLY RAY EARHART (NPI# 1942814033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942814033 |
| Entity Type | Individual |
| Full Name | KELLY RAY EARHART |
| Credential | PHARM. D. |
| Practice Address |
305 S 5th St Enid OK 73701-5832 |
| Mailing Address |
4529 S Covered Wagon Trl Enid OK 73701-8546 |
| Practice Telephone | 5802493062 |
| Practice Fax Number | 5802493736 |
| Mailing Telephone | 5809777153 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13003 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PHARMACIST | 13003 | 01 |
| Street Address |
305 S 5TH ST |
| City | ENID |
| State | OK |
| Zip Code | 73701-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417947466 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2005-10-21 |
| 1518510296 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2019-07-22 |
| 1255839031 | Rebekah Dianne Cutler | Physician Assistant | 305 S 5th St, Enid, OK 73701-5832 | 2018-01-26 |
| 1073047148 | Sarah White | Speech-Language Pathologist | 305 S 5th St, Enid, OK 73701-5832 | 2017-04-17 |
| 1457894941 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 305 S 5th St, Enid, OK 73701-5832 | 2016-12-01 |
| 1801203021 | Carolina Wales | Emergency Medicine | 305 S 5th St, Enid, OK 73701-5832 | 2014-07-21 |
| 1316357742 | Sarah K. Miller, Pllc | Clinical Neuropsychologist | 305 S 5th St, 5th Floor, Enid, OK 73701 | 2014-05-07 |
| 1902234057 | Purple Martin Anesthesia LLC | Nurse Anesthetist, Certified Registered | 305 S 5th St, Enid, OK 73701-5832 | 2013-10-29 |
| 1770822876 | Oklahoma Em-1 Medical Services, Pa | Physician Assistant | 305 S 5th St, Enid, OK 73701-5832 | 2013-02-08 |
| 1467706200 | St. Mary's Regional Medical Center | General Acute Care Hospital | 305 S 5th St, Enid, OK 73701-5832 | 2012-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| 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 |
|---|---|---|---|---|
| 1558828673 | Jessica Benham | Pharmacist | 915 E Owen K Garriott Rd Ste M, Enid, OK 73701-6155 | 2019-02-25 |
| 1447764139 | Nkegoa Ateh | Pharmacist | 3915 W Garriott Rd, Enid, OK 73703-4802 | 2017-11-17 |
| 1538564612 | Zachary Key | Pharmacist | 4408 Zachary Ln, Enid, OK 73703-9714 | 2014-10-30 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1740562867 | Michael H Edge | Pharmacist | 929 West Owen K. Garriott Rd., Enid, OK 73703-5312 | 2011-09-14 |
| 1003197484 | Kenneth Cribley | Pharmacist | 2205 W Broadway Ave, Enid, OK 73703-5312 | 2011-08-30 |
| 1457675746 | Mark Edward Feightner | Pharmacist | 909 Quail Ridge Rd, Enid, OK 73703-2853 | 2010-03-16 |
| 1679895502 | Brent Eugene Dittmeyer | Pharmacist | 4010 W Owen K Garriott Rd, Enid, OK 73703-4803 | 2010-02-19 |
| 1639327596 | Scott Holle | Pharmacist | 110 N Oakwood Rd, Enid, OK 73703-4946 | 2008-09-04 |
| 1750306148 | Julie Ann Phillips | Pharmacist | 1925 W. Garriott Rd, Enid, OK 73703-5595 | 2006-07-13 |
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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.