MR. ANITA FAYE BLACKBURN (NPI# 1831274919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831274919 |
| Entity Type | Individual |
| Full Name | MR. ANITA FAYE BLACKBURN |
| Practice Address |
3401 N University Ave Lubbock TX 79415-1734 |
| Practice Telephone | 8067413433 |
| Practice Fax Number | 8067413778 |
| Mailing Telephone | 8067413433 |
| Mailing Fax Number | 8067413778 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 15705 | TX | Pharmacy Service Providers |
| Street Address |
3401 N UNIVERSITY AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649363326 | Health and Human Services Commission | Psychiatry & Neurology | 3401 N University Ave, Lubbock, TX 79415-1734 | 2006-10-02 |
| 1548861669 | Cristi Tipton | Pharmacist | 3401 N University Ave, Lubbock, TX 79415-1734 | 2020-11-04 |
| 1932607066 | Marlon Daron Womack | Nurse Practitioner | 3401 N University Ave, Lubbock, TX 79415-1734 | 2018-01-23 |
| 1487074472 | Allan Thomas Hanretta | Psychiatry & Neurology | 3401 N University Ave, Lubbock, TX 79415-1734 | 2014-04-17 |
| 1588728596 | Glenn Michael Shipley | Preventive Medicine | 3401 N University Ave, Lubbock, TX 79415-1734 | 2006-12-21 |
| 1982765301 | Resurreccion Barranda | Family Medicine | 3401 N University Ave, Lubbock, TX 79415 | 2006-12-12 |
| 1679640411 | Ricardo Rodriguez | Family Medicine | 3401 N University Ave, Lubbock, TX 79415 | 2006-11-29 |
| 1104990365 | Health and Human Services Commission | Pharmacy | 3401 N University Ave, Lubbock, TX 79415-1734 | 2006-11-20 |
| 1053484980 | Max E Mccasland | Physician Assistant | 3401 N University Ave, Lubbock, TX 79415 | 2006-11-16 |
| 1750454674 | Richard L Weddige | Psychiatry & Neurology | 3401 N University Ave, Lubbock, TX 79415 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648825 | Cody M Cooper | Pharmacy Technician | 12815 Indiana Ave, Lubbock, TX 79423-5677 | 2020-10-26 |
| 1689210957 | Zachary Hunter Tyler | Pharmacy Technician | 2703 82nd St, Lubbock, TX 79423-1429 | 2019-11-21 |
| 1265787477 | Stephanie Palacios | Pharmacy Technician | 5115 98th St, Lubbock, TX 79424-7530 | 2012-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800842 | Arsalan Ahmed | Pharmacy Technician | 1801 Addington Dr, Carrollton, TX 75007-3009 | 2020-10-29 |
| 1104433119 | Waleska Sanchez Ojeda | Pharmacy Technician | 1902 Windward Dr Apt D, Killeen, TX 76543-8900 | 2020-09-24 |
| 1093334369 | Jose De Jesus Arellano Delgadillo | Pharmacy Technician | 3810 Hatwig Flds, Converse, TX 78109-3583 | 2020-04-15 |
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1669007480 | Ursula Henry | Pharmacy Technician | 2656 S Loop W Ste 255, Houston, TX 77054-2698 | 2020-03-12 |
| 1861024341 | Kaytlynn Flowers | Pharmacy Technician | 514 South Oklahoma Cutoff, Burkburnett, TX 76354 | 2020-02-12 |
| 1275164881 | Trevor William Price | Pharmacy Technician | 401 W 39th St Apt 210, Austin, TX 78751-4928 | 2020-02-01 |
| 1760013619 | Fabrice Lionel Pougoue Ngomsi | Pharmacy Technician | 12041 Dessau Rd Apt 2309, Austin, TX 78754-1729 | 2020-01-30 |
| 1841821766 | Paige Alana Travillion | Pharmacy Technician | 1521 Augusta Bend Dr, Hutto, TX 78634-5274 | 2020-01-29 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
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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.