LARRY WAYNE SHIVELY BS PHARMACY
NPI 1124116355
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Hines, IL

Q: What is Larry Shively's NPI number?

The NPI number for Larry Shively is 1124116355. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Larry Shively's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Larry Shively was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2006

5TH AND ROOSEVELT, 119, HINES, IL 60141(708) 202-8387 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Larry Wayne Shively Bs Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY WAYNE SHIVELY BS PHARMACY (NPI 1124116355) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Hines, Illinois, licensed in Missouri (040875) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1124116355

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameLARRY WAYNE SHIVELYCredential: BS PHARMACY

Location Address5TH AND ROOSEVELT, 119Hines, IL 60141

Mailing Address5th And RooseveltHines, IL 60141 · (708) 202-8387

Phone(708) 202-8387

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedNovember 28, 2023

✔ NPI 1124116355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in MO · 040875

Definition

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.

5TH AND ROOSEVELT, Hines, IL 60141

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PANNA PATEL

Pharmacist

5TH AND ROOSEVELT
HINES, IL 60141

Cook County (708) 202-8387

MS. JENNIFER SUSAN HARRISON PHARMACIST

Pharmacist

5TH AND ROOSEVELT, DEPARTMENT OF VETERANS AFFAIRS CMOP , BUILDING 37
HINES, IL 60141

Cook County (708) 786-7823

MRS. ANN JULIA SPROAT PA-C

Physician Assistant (Medical)

5TH AND ROOSEVELT, EDWARD HINES VA HOSPITAL
HINES, IL 60141

Cook County (708) 202-8387

JOVISA STEVLIC MD

Internal Medicine

5TH AND ROOSEVELT
HINES, IL 60141

Cook County (708) 202-8387

BARRY M KLOR PH.D.

Speech-Language Pathologist

5TH AND ROOSEVELT
HINES, IL 60141

Cook County (708) 202-2298

DR. KURTIS LEE NOBLETT PH.D.

Psychologist (Clinical)

5TH AND ROOSEVELT
HINES, IL 60141

Cook County (708) 202-2565

MR. WILLIAM HUNT LOFTHOUSE KT

Kinesiotherapist

5TH AND ROOSEVELT, HINES VA HOSPITAL
HINES, IL 60141

Cook County (708) 202-3937

MR. EDWARD ANDREW NOVAK BS PHARMACY

Pharmacist

5TH AND ROOSEVELT
HINES, IL 60141

Cook County (708) 460-8391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Shively's NPI number?

The NPI number for Larry Shively is 1124116355. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Larry Shively located?

Larry Shively practices at 5th And Roosevelt 119, Hines, IL 60141. The listed phone number is (708) 202-8387.

What is Larry Shively's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Larry Shively was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.