STACI NICHOLE LONGBINE (NPI# 1104470095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104470095 |
Entity Type | Individual |
Full Name | STACI NICHOLE LONGBINE |
Practice Address |
1000 S Coulter St Ste 100 Amarillo TX 79106-1781 |
Practice Telephone | 8064572053 |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 49999 | TX | Pharmacy Service Providers |
Street Address |
1000 S COULTER ST STE 100 |
City | AMARILLO |
State | TX |
Zip Code | 79106-1781 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063454007 | Harnoor Singh | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2006-06-12 |
1336769819 | Jennifer Campos | Internal Medicine | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2020-04-24 |
1093034506 | Shrestha Dilipbhai Patel | Internal Medicine | 1000 S Coulter St Ste 100, Amarillo, TX 79106 | 2010-05-24 |
1659512556 | Cathryn Anne Doughtie | Surgery | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2009-03-23 |
1013158013 | Madhava Rao Kanakamedala | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2009-03-20 |
1407038813 | Jessica Ann Turner | Nurse Practitioner | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-11-28 |
1528251923 | Sara S. Woodward Dyrstad | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-08-20 |
1447450499 | Joshua Kilgore | Obstetrics & Gynecology | 1000 S Coulter St Ste 100, Amarillo, TX 79106 | 2007-07-18 |
1417167859 | Lova Tiana Arenivas | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-05-23 |
1972627446 | Srini Bakkannagari Reddy | Internal Medicine | 1000 S Coulter St Ste 100, Suite 210, Amarillo, TX 79106-1781 | 2007-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
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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 |
---|---|---|---|---|
1487251484 | Paul James Priebe | Pharmacist | 1600 S Coulter St Ste 307, Amarillo, TX 79106-1774 | 2020-10-04 |
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1073136099 | Julie Holt | Pharmacist | 1600 S Fm 2381, Amarillo, TX 79124-1900 | 2020-05-26 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1184277980 | Judy A Gill | Pharmacist | 14101 Tangle Aire Pt, Amarillo, TX 79118-3865 | 2019-07-20 |
1467005314 | James H Miller | Pharmacist | 8308 Pomona Dr, Amarillo, TX 79110-4640 | 2019-07-19 |
1982077038 | Bernard Ochieng Abiero | Pharmacist | 4400 Bell St Apt 304c, Amarillo, TX 79109-5258 | 2015-11-10 |
1699168401 | Jacob Tse Yang | Pharmacist | 8304 Hamilton Dr, Amarillo, TX 79119-4400 | 2015-03-18 |
1346639069 | Richard K. Waide | Pharmacist | 4400 Rm 1061, Amarillo, TX 79124-4716 | 2015-01-19 |
1912313545 | Leigh Anselmo | Pharmacist | 1801 Steeplechase Dr Apt 608, Amarillo, TX 79106-1928 | 2014-07-02 |
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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.