RAYMOND PURNOMO


Address: 3305 S Mayhill Rd Ste 101, Denton, TX 76208-6054
Phone: 9403820079

RAYMOND PURNOMO (NPI# 1780151894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780151894
Entity Type Individual
Full Name RAYMOND PURNOMO
Practice Address 3305 S Mayhill Rd Ste 101
Denton
TX 76208-6054
Mailing Address 3126 Impala Trl
Frisco
TX 75034-6219
Practice Telephone 9403820079
Enumeration Date 2018-10-26
Last Update Date 2018-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 45827 TX Pharmacy Service Providers

Office Location

Street Address 3305 S MAYHILL RD STE 101
City DENTON
State TX
Zip Code 76208-6054

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NPI Name Taxonomy Address Enumeration
1629636212 Aesthetic Dentistry and Implant Center Pllc Dentist 3500 Corinth Pkwy, Suite 200, Corinth, TX 76208 2019-05-30
1891285870 Patricia Esame Ashu Registered Nurse 5416 Sea Cove Ln, Denton, TX 76208 2018-05-15
1275060956 Fatoumata Keita Pharmacy Technician 3416 Oceanview Dr, Denton, TX 76208 2017-05-12
1649664897 Matties Ranch LLC Psychologist 5014 Oak Bend Circle, Denton, TX 76208 2015-03-25
1326438144 Dyan Alexander Occupational Therapist 1919 Brinker Rd, Denton, TX 76208 2015-02-01
1740689074 Amber Thomas Registered Nurse 2014 Denton, Denton, TX 76208 2014-08-22
1548532997 Anew Dental P.C. Dentist 1601 Brinker Rd, Unit 111, Denton, TX 76208 2012-02-01
1942591607 Olga Doroftei Md Pa Physical Medicine & Rehabilitation 3511 Corinth Pkwy, Corinth, TX 76208 2011-04-28
1437454592 Jamie Garcia-bartlett Speech-Language Pathologist 828 Thomas Crossing, Burleson, TX 76208 2011-01-21
1639471543 Addis Pharmacy Inc Pharmacy 3305 S Mayhill Road, Suite 101, Denton, TX 76208 2010-11-29
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538760848 Sabnam Oli Rijal Pharmacist 6813 Alderbrook Dr, Denton, TX 76210-0068 2020-11-03
1730780271 Kelli Michelle Lamb Pharmacist 1592 S Loop 288 # A, Denton, TX 76205-4730 2020-11-02
1740653518 Brian Clark Pharmacist 8312 Serenity Way, Denton, TX 76210-0823 2015-11-03
1023493012 Maria Temilola Dominic Pharmacist 3303 Unicorn Lake Blvd Ste 280, Denton, TX 76210-0169 2015-07-20
1215239876 Kendel Neil Williams Pharmacist 310 Vernon Ave, Denton, NC 27239-8913 2010-12-01
1538497581 Omayra Vidovic Pharmacist 5000 Teasley Ln., Denton, TX 76210 2009-12-03
1285873901 Sarah Jane Muller Pharmacist 842 S 5th Ave, Denton, MD 21629-1398 2009-02-19
1679746028 Marian Denise Chodnicki Pharmacist 24717 Pealiquor Rd, Denton, MD 21629-2304 2008-04-07
1285727537 Sam Tipton Pharmacist 117 Piner St, Denton, TX 76201-9067 2006-10-01
1790798163 William N Neu Pharmacist 527 Bryan St, Denton, TX 76201-2705 2006-08-15
Find all providers in DENTON

Competitor

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City DENTON
Zip Code 76208

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Dataset Information

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.

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