EDIE BLACK (NPI# 1346850963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346850963 |
| Entity Type | Individual |
| Full Name | EDIE BLACK |
| Practice Address |
5701 W Pleasant Ridge Rd Arlington TX 76016-4424 |
| Practice Telephone | 8174830354 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
35833 | TX | Pharmacy Service Providers |
| Street Address |
5701 W PLEASANT RIDGE RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76016-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740353275 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 5701 W Pleasant Ridge Rd, Arlington, TX 76016-4424 | 2006-11-15 |
| 1134750953 | Candice Millro-macklin | Pharmacist | 5701 W Pleasant Ridge Rd, Arlington, TX 76016-4424 | 2020-01-30 |
| 1669012902 | Gloria Dang | Pharmacist | 5701 W Pleasant Ridge Rd, Arlington, TX 76016-4424 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655646 | Kristin Allison Healer | Counselor | 5614 Arbor Valley Drive, Arlington, TX 76016 | 2020-10-01 |
| 1720564040 | Malesco LLC | Durable Medical Equipment & Medical Supplies | 2805 W. Arkansas Ln #300, Arlington, TX 76016 | 2018-07-19 |
| 1174034623 | Stat Trauma & Surgical Services, Pllc | Surgery | 6 Garden Ln, Arlington, TX 76016 | 2017-10-23 |
| 1689197626 | Ortho Pain Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2805 W Arkansas Ln Ste 300, Arlington, TX 76016 | 2017-07-21 |
| 1710382924 | Christopher Matthew Lemoine | Specialist/Technologist | 4501 W. Pleasant Ridge, Martin High School, Arlington, TX 76016 | 2014-10-30 |
| 1073936993 | Dariush Alirezaieyan | Specialist/Technologist, Other | 6601 Johns Crt, Arlington, TX 76016 | 2014-01-29 |
| 1063768380 | Melissa Kathleen Zawisza | Social Worker | 6311 Millwood Ct., Arlington, TX 76016 | 2012-07-24 |
| 1023377421 | Walter Ernest Williamson Jr. | Surgery | 4806 Wooded Acres Drive, Arlington, TX 76016 | 2012-05-07 |
| 1043585615 | Jack Henry Arlington, LLC | Alzheimer Center (Dementia Center) | 2300 Little Rd, Arlington, TX 76016 | 2012-03-15 |
| 1568608420 | Keorric Lamont Holiday | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3705 Fort Hunt Drive, Arlington, TX 76016 | 2008-12-26 |
| Find all providers in zip 76016 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650938 | Oluwagbemiga Adeife Otubanjo | Pharmacist | 1800 Baylor Dr, Arlington, TX 76010-4232 | 2020-08-17 |
| 1124651641 | Wintana T Tekleab | Pharmacist | 1201 S Eads St Apt 314, Arlington, VA 22202-2837 | 2020-02-13 |
| 1023649324 | Kimbra Richey | Pharmacist | 5812 Ridge Dr, Arlington, TX 76016-1544 | 2020-01-27 |
| 1548742893 | Nirav Patel | Pharmacist | 5201 S Cooper St Ste 117, Arlington, TX 76017-5964 | 2018-09-04 |
| 1093181547 | Sodienye Chinyere Hart | Pharmacist | 2614 Jessup Trl, Arlington, TX 76006-2810 | 2015-08-19 |
| 1134728058 | Joyce Natvig | Pharmacist | 2475 Ascension Blvd, Arlington, TX 76006-4205 | 2020-10-21 |
| 1669071544 | Stacey Cornell | Pharmacist | 2350 Se Green Oaks Blvd, Arlington, TX 76018-0917 | 2020-10-21 |
| 1982203295 | Emily Beth Cox | Pharmacist | 2350 Se Green Oaks Blvd, Arlington, TX 76018-0917 | 2020-10-19 |
| 1336751668 | Ellouise Mildred Dodge | Pharmacist | 901 E Pioneer Pkwy, Arlington, TX 76010-5856 | 2020-08-18 |
| 1578184032 | Abdelaziz Mahroug | Pharmacist | 1000 N Cooper St, Arlington, TX 76011-5540 | 2020-05-06 |
| Find all providers in ARLINGTON | ||||
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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.