MRS. TABITHA RENEE COOPER (NPI# 1184853210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184853210 |
| Entity Type | Individual |
| Full Name | MRS. TABITHA RENEE COOPER |
| Credential | RPH |
| Practice Address |
27 Cardinal Ln Texarkana TX 75501-0220 |
| Practice Telephone | 9039491462 |
| Mailing Telephone | 9039491462 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36561 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023068947 | Tabitha Dawn Cooper | Occupational Therapist | 1601 Greenhouse Rd, Bentonville, AR 72713-9292 | 2006-05-11 |
| Street Address |
27 CARDINAL LN |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-0220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| 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 |
|---|---|---|---|---|
| 1952868150 | Barole Mohammed Ahmed Ibrahim | Pharmacist | 2315 Richmond Rd Ste 1, Texarkana, TX 75503-2447 | 2019-02-23 |
| 1639406218 | Jerry Franklin Morgan Jr. | Pharmacist | 7411 Sanderson Ln, Texarkana, AR 71854-8169 | 2009-11-03 |
| 1225364896 | Alan Michael Thomason | Pharmacist | 3520 Richmond Rd, Texarkana, TX 75503-0705 | 2009-11-02 |
| 1356677926 | Raymond Kelley Turk | Pharmacist | 4415 N Stateline Ave, Texarkana, TX 75503-3138 | 2009-11-02 |
| 1417283144 | Tri Duc Pham | Pharmacist | 2315 Richmond Rd, Texarkana, TX 75503-2485 | 2009-10-31 |
| 1184853194 | Joe Michalls | Pharmacist | 3448 Summerhill Rd, Texarkana, TX 75503-3560 | 2009-07-11 |
| 1467591396 | Christus Health Ark-la-tex | Pharmacist | 2604 Saint Michael Dr Ste 200, Texarkana, TX 75503-2378 | 2007-02-06 |
| 1689768202 | Lance Raymond Calhoon | Pharmacist | 2 Bevill Place, Texarkana, TX 75503-1150 | 2006-10-03 |
| 1245337294 | Harold Craig Darby | Pharmacist | 5001 N State Line Ave, Suite C, Texarkana, TX 75503-2989 | 2006-09-20 |
| 1255438917 | Connie Stroud Ewald | Pharmacist | 5001 N State Line Ave Ste C, Texarkana, TX 75503-2962 | 2006-09-17 |
| Find all providers in TEXARKANA | ||||
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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.