DR. WILLIE BOBBY PAYNE JR. (NPI# 1013550656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013550656 |
| Entity Type | Individual |
| Full Name | DR. WILLIE BOBBY PAYNE JR. |
| Credential | PHARMD |
| Practice Address |
9785 Us Highway 377 S Ste 101 Collinsville TX 76233-1105 |
| Practice Telephone | 9034294100 |
| Mailing Telephone | 9034294100 |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 49083 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992244107 | Willie Payne | Specialist | 10782 N Harrells Ferry Rd Ste A, Baton Rouge, LA 70816-8227 | 2017-02-21 |
| Street Address |
9785 US HIGHWAY 377 S STE 101 |
| City | COLLINSVILLE |
| State | TX |
| Zip Code | 76233-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752084 | Twd Rx LLC | Pharmacy | 9785 Us Highway 377 S Ste 101, Collinsville, TX 76233-1105 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1376042549 | Anna D Diggs | Social Worker | 646 Cr 226, Denton, TX 76233 | 2018-02-02 |
| 1790995223 | Julie Stewart | Specialist | 1433 Welch School Rd., Collinsville, TX 76233-1433 | 2007-05-23 |
| 1164502928 | Julie Ann Stewart | Physical Therapist | 1433 Welch School Rd, Collinsville, TX 76233-1433 | 2006-10-16 |
| 1487136271 | Amy Sue Haverkamp | Occupational Therapy Assistant | 501 N Main St, Collinsville, TX 76233-5106 | 2018-08-29 |
| 1205239266 | Jack County Hospital District | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2014-10-06 |
| 1487892816 | Amy Reanee Mcmillon | Occupational Therapist | 501 N Main St, Collinsville, TX 76233-5106 | 2009-01-22 |
| 1710130703 | Patricia Louise Schmidt | Occupational Therapist | 501 N Main St, Collinsville, TX 76233-5106 | 2008-11-04 |
| 1922202357 | Collinsville Long Term Care, LLC | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2007-06-11 |
| 1568528560 | Pyramid Healthcare Corp. | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2006-12-28 |
| Find all providers in zip 76233 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1942550280 | Adam Turbyfill | Pharmacist | 9155 Hwy 19, Collinsville, MS 39325-0175 | 2012-09-13 |
| 1902154164 | Donnie Joe Scrivner | Pharmacist | 9155 Highway 19 N, Collinsville, MS 39325-9330 | 2012-08-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1932480498 | Ben D Blackburn | Pharmacist | 16657 E 122nd St N, Collinsville, OK 74021-5180 | 2011-08-29 |
| 1497077184 | Carol O Muzzarelli | Pharmacist | 1101 Belt Line Rd, Collinsville, IL 62234-4368 | 2010-02-22 |
| 1730357906 | Steven Scott Smith | Pharmacist | 29 Hillsborough Dr, Collinsville, IL 62234-6309 | 2008-02-11 |
| 1598366429 | Leann Herschbach | Pharmacist | 1040 Collinsville Crossing Blvd, Collinsville, IL 62234 | 2020-11-06 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 76233 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.