DR. SARAH JUSTINE PAYNE (NPI# 1073952750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073952750 |
| Entity Type | Individual |
| Full Name | DR. SARAH JUSTINE PAYNE |
| Credential | PHARM.D. |
| Practice Address |
3500 Camp Bowie Blvd Fort Worth TX 76107-2644 |
| Mailing Address |
9705 Cypress Lake Drive Fort Worth TX 76036 |
| Practice Telephone | 8177350636 |
| Mailing Telephone | 8177350636 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2014-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
54903 | TX | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
15186 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1730738451 | Sarah Beth Payne | Counselor | 403 Knight Dr, Ronceverte, WV 24970-0169 | 2019-09-05 |
| 1750885463 | Sarah Elizabeth Payne | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center-temple, 2401 South 31st Street, Ms-01-161b, Temple, TX 76508 | 2018-03-19 |
| 1174836159 | Sarah Charmaine Payne | Dentist | 5813 Independence Cir, Texarkana, TX 75503-0997 | 2010-07-20 |
| 1740501527 | Sarah Payne | Obstetrics & Gynecology | 8101 E Lowry Blvd # 255, Denver, CO 80230-7196 | 2010-06-16 |
| 1144844341 | Sarah Payne | Obstetrics & Gynecology | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-06-03 |
| 1942830872 | Sarah Ann Payne | Nurse Practitioner | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2020-01-20 |
| 1912402785 | Sarah Marie Payne | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048 | 2018-03-26 |
| 1124535687 | Sarah Marie Payne | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2018-01-05 |
| 1770003089 | Sarah M. Payne | Nurse Practitioner | 501 Morris Street, Trauma Services, Charleston, WV 25301 | 2017-06-27 |
| Street Address |
3500 CAMP BOWIE BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460202 | Lawrence J Cohen | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2005-07-07 |
| 1033716287 | Lara Lai | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-10-01 |
| 1659907517 | Marian Gaviola | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-03-22 |
| 1184266876 | Ashlyn Aguiniga | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-10-14 |
| 1114580792 | Ross Terada | Student in an Organized Health Care Education/Training Program | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-04-18 |
| 1811461494 | Patrick Gerard Clay | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-01-16 |
| 1043786478 | Crystal Howell | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2018-10-24 |
| 1891291480 | Maricar Conson | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2018-04-02 |
| 1871033837 | Thomas William Cawood | Student in an Organized Health Care Education/Training Program | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2017-02-24 |
| 1437606282 | Jose Ortiz | Physician Assistant | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740630565 | Dustin Russell Horne | Pharmacist | 2901 Bledsoe St Apt 1342, Fort Worth, TX 76107-2677 | 2016-06-13 |
| 1831373679 | Caroline Elad Tabe | Pharmacist | 5412 Meadow Valley Dr, Fort Worth, TX 76123-2841 | 2007-12-27 |
| 1659404796 | Angela St.clair Pinckard | Pharmacist | 6601 Harris Pkwy, Baylor Institute for Rehabilitation At Fort Worth, Fort Worth, TX 76132-6108 | 2007-03-14 |
| 1831290832 | Angela K. Treadway | Pharmacist | 900 Jerome St Ste 401, Fort Worth, TX 76104-3942 | 2006-09-25 |
| 1821072414 | Jennifer Elice Ortega | Pharmacist | 600 W Rosedale St, Fort Worth, TX 76104-4621 | 2005-12-06 |
| 1811461494 | Patrick Gerard Clay | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-01-16 |
| 1629553813 | Lisa Jane Killam-worrall | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-10-03 |
| 1023141140 | Lucas Cade Colson | Pharmacist | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2007-03-14 |
| 1245332030 | Ronald Shane Greene | Pharmacist | 900 Jerome St Ste 400, Fort Worth, TX 76104-3942 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151193 | Lori Jean Krustchinsky | Pharmacist | 1220 Hobbs Reach Ln, Houston, TX 77008-6464 | 2020-07-07 |
| 1699390609 | Vincent Wong | Pharmacist | 13501 Hymeadow Cir, Austin, TX 78729-1763 | 2020-06-15 |
| 1750917282 | Ayeshia Duru | Pharmacist | 1321 Canterbury Dr, Allen, TX 75013-7067 | 2020-03-16 |
| 1639703416 | Uchenna Comfort Orji | Pharmacist | 8803 Noah Lndg, Houston, TX 77064-4392 | 2020-03-02 |
| 1316577695 | Osita Stephen Okafor Jr. | Pharmacist | 8440 N Sam Houston Pkwy E Apt 832, Humble, TX 77396-2971 | 2020-01-25 |
| 1023658093 | Islam Abdelhamid | Pharmacist | 1911 Holcombe Blvd Apt 1728, Houston, TX 77030-4192 | 2020-01-08 |
| 1851934640 | Karen Ugwu | Pharmacist | 1212 Corporate Dr, Irving, TX 75038-2502 | 2019-10-24 |
| 1588136675 | Jose Martin Penaloza | Pharmacist | 12002 Barrycliff Ct, Houston, TX 77070-5447 | 2018-12-30 |
| 1790252054 | Jenna Lynne Snoga | Pharmacist | 7400 Merton Minter San Antonio, San Antonio, TX 78229 | 2018-10-25 |
| 1679048151 | Richard William Molinaro Jr. | Pharmacist | 708 Tall Pines Dr, Friendswood, TX 77546-4456 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.