DR. KEVIN PATRICK LONABAUGH (NPI# 1952789893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952789893 |
| Entity Type | Individual |
| Full Name | DR. KEVIN PATRICK LONABAUGH |
| Credential | PHARMD |
| Practice Address |
4502 E 41st St Suite 1h25 Tulsa OK 74135-2536 |
| Practice Telephone | 9186603018 |
| Mailing Telephone | 9186603018 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0200X |
Pharmacist Specialization: Pediatrics |
0202214049 | VA | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
0202214049 | VA | Pharmacy Service Providers |
| Street Address |
4502 E 41ST ST SUITE 1H25 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378735 | Nancy C. Brahm | Pharmacist | 4502 E 41st St, Tulsa, OK 74135-2553 | 2005-07-05 |
| 1285247056 | Mason Alexander Kennon | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-08-31 |
| 1578186656 | Scott Louis Puckett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-05-22 |
| 1861012247 | Emily Ann Bolender | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-25 |
| 1760002513 | Nadeem Toujjo El-kouri | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-22 |
| 1962022749 | John Thomas Hiett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-21 |
| 1245859578 | Liuyi Chen | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-16 |
| 1255950713 | Stuart Andrew Jack | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-14 |
| 1447879366 | Thomas Stewart | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
| 1689293672 | Ekene Ezenwa | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063864163 | Elizabeth Ann Cook | Pharmacist | 4502 E 41st St, Suite 1h25, Tulsa, OK 74135-2536 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821637802 | Aimee Henderson | Pharmacist | 24191 E 996 Rd, Weatherford, OK 73096-9319 | 2019-12-23 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1396346854 | Annie Bejoy Thomas | Pharmacist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-11-02 |
| 1518581636 | Angela Boston | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-06-04 |
| 1902442817 | Michael Jared Scott | Pharmacist | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2019-11-26 |
| 1174166300 | Clifford Blaine Polk | Pharmacist | 420 E Jackson St, Hugo, OK 74743-4021 | 2019-10-21 |
| 1063989846 | Lindsey Bastemeyer | Pharmacist | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2018-10-30 |
| 1649747429 | Tina Marie Imhoff | Pharmacist | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2018-10-30 |
| 1912497934 | Santhosh Thomas | Pharmacist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2018-05-15 |
| 1467906412 | Kyle T Panter | Pharmacist | 510 N Elm Pl, Broken Arrow, OK 74012-2539 | 2016-08-08 |
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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.