Larry R Dismore
Larry R Dismore is a healthcare organization registered as Community/Retail Pharmacy in Snyder, OK, holding Type 2 (organization) NPI 1235112699 since 2005. The authorized official on file is Larry Dismone, Owner and Phrmcst.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235112699 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Larry R Dismore |
| Other name | <Unavail> |
| Practice address | 616 E ST, Snyder, OK, 73566 |
| Phone | 5805692008 |
| Fax | 5805694929 |
| Enumeration date | 2005-11-21 |
| Last updated in NPPES | 2016-01-21 |
Authorized official
| Name | Larry Dismone |
|---|---|
| Title | Owner and Phrmcst |
| Phone | 5805692008 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 41-2210 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100235810A | Medicaid | OK | — |
| 2073255 | Other | — | PK |
Copy-ready billing details
Provider: Larry R Dismore NPI: 1235112699 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 616 E ST, Snyder, OK, 73566
Verify this record
Cross-check NPI 1235112699 against the authoritative CMS record: view Larry R Dismore on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Larry R Dismore?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-01-21.