Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Wayne Shively, BSPHARMACY

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1124116355

Larry Wayne Shively, BSPHARMACY is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Hines, Illinois. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

5TH And Roosevelt 119
Hines, IL 60141
Phone: (708) 202-8387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 040875 (MO)

Record details

NPI number1124116355
Entity typeIndividual (Type 1)
GenderMale
Credentials BSPHARMACY
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESFebruary 1, 2024
Certification dateNovember 28, 2023
Mailing address5th And Roosevelt, Hines, IL 60141

Other providers in Hines