IndividualActive
Paul Grimes, PHARMD
NPI 1154887065 · Pharmacist · Konawa, OK
Provider details
- NPI number
- 1154887065
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15370 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
527 W 3rd St
Konawa, OK 74849-1415
Phone: (580) 925-8855
Street-level locationGet directions
Mailing address
1917 Waterford Ave
Ada, OK 74820-8521
Additional practice locations (1)
- 1921 Stonecipher DrAda, OK 74820-3439Phone: (580) 436-3980
Registry dates
- Enumerated
- 2019-02-15
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.