Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY WAYNE SHIVELY, BS PHARMACY
ActivePharmacist Clinician (PhC) · HINES, IL
Registration Details
- NPI Number
- 1124116355
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.533067695668 yrs)
- Last Updated
- Feb 1, 2024
- License
-
040875 (MO)
Practice Information
- Address
-
5TH AND ROOSEVELT119HINES, IL, 60141Browse IL providers · Browse ZIP 60141
- Phone
- 7082028387
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Other Pharmacist Clinician (PhC) Providers in HINES, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MARA JILL ANDERSEN | PHARMD | 1891894010 |
| JENNIFER LYNN MAULDIN | PHARM.D. | 1841452083 |
| JAYME ALLISON MAGRADY | PHARMD | 1972898294 |
| WADE EUGENE SEGGERMAN | PHARM.D. | 1578819553 |
| GOPI PATEL | PHARM.D. | 1750638318 |
| DR. RUSSELL EUGENE USAUSKAS | PHARMD. | 1962759571 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.