MR. MARK RAYBURN (NPI# 1801345947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801345947 |
| Entity Type | Individual |
| Full Name | MR. MARK RAYBURN |
| Credential | R.PH. |
| Practice Address |
4001 Leopard Dr Texarkana TX 75501-8100 |
| Mailing Address |
7208 Stonewall Dr Texarkana TX 75503-0916 |
| Practice Telephone | 9038384587 |
| Mailing Telephone | 9039083654 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
39194 | TX | Pharmacy Service Providers |
| Street Address |
4001 LEOPARD DR |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649360108 | Beverly Jean Stuart | Physician Assistant | 4001 Leopard Dr, Health Services, Texarkana, TX 75503 | 2006-10-13 |
| 1740614627 | Jeremy Jay Dougan | Nurse Practitioner | 4001 Leopard Dr, Texarkana, TX 75501-8100 | 2013-08-27 |
| 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 | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669692 | Sam Hammett IIi | Pharmacist | 113 East St, Texarkana, AR 71854-6303 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453147 | Kaden Del Ridley | Pharmacist | 1300 S Coulter St Ste 203, Amarillo, TX 79106-1712 | 2020-09-25 |
| 1275143968 | Kristen M. Clancy | Pharmacist | 9723 Charter Ridge Dr, Houston, TX 77070-1907 | 2020-08-06 |
| 1235778887 | Kimberly Kay Lane | Pharmacist | 200 Saddletree Rd, Shavano Park, TX 78231-1543 | 2019-12-30 |
| 1427601319 | Ruth S Smith | Pharmacist | 5807 Sw 45th Ave, Amarillo, TX 79109-5205 | 2019-07-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1750940664 | Anne-cecile Mingle | Pharmacist | 209 N Water St, Corpus Christi, TX 78401-2528 | 2019-06-13 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1467964809 | Telfia Yvette Muckeroy | Pharmacist | 5787 S Hampton Rd # 230b, Dallas, TX 75232-2255 | 2017-10-25 |
| 1164944013 | Lizette Bunn | Pharmacist | 4647 Medical Dr # Ms 102-1, San Antonio, TX 78229-4403 | 2017-07-12 |
| Find all providers with the same taxonomy | ||||
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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.