SUSAN JENELLE STANFORD (NPI# 1134729973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134729973 |
| Entity Type | Individual |
| Full Name | SUSAN JENELLE STANFORD |
| Other Name | SUSAN JENELLE MCCRAW |
| Credential | RPH |
| Practice Address |
1003 Flint Ave Lubbock TX 79409-9803 |
| Practice Telephone | 8067432636 |
| Practice Fax Number | 8067434474 |
| Mailing Telephone | 8067432636 |
| Mailing Fax Number | 8067434474 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33392 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942540117 | Susan M Stanford | Chiropractor | 33 Goff St, Auburn, ME 04210-5018 | 2013-02-25 |
| Street Address |
1003 FLINT AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79409-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023563889 | Austin P. Wade | Psychologist | 1003 Flint Ave, Lubbock, TX 79409 | 2016-08-23 |
| 1124516240 | John Blake Keith Purcell | Marriage & Family Therapist | 1003 Flint Ave, Lubbock, TX 79409-9803 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841828126 | Luke Malone | Student in an Organized Health Care Education/Training Program | 2503 Mac Davis Lane, Lubbock, TX 79409 | 2020-03-31 |
| 1104221928 | Amanda Dorsten | Specialist/Technologist | 6216 66th St, Lubbock, TX 79409 | 2014-10-23 |
| 1124420427 | Chrystal Jansz | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-18 |
| 1205044740 | Texas Tech University Psychology Clinic | Psychologist | 18th Street and Boston Avenue, Lubbock, TX 79409 | 2007-05-18 |
| 1578682175 | Stephen Michael Pincock | Specialist/Technologist | 6th & Red Raider Ave., Atf Box 43021, Lubbock, TX 79409 | 2007-03-28 |
| 1871636738 | Texas Tech Student Health Pharmacy | Pharmacy | 1003 Flint Ave., Lubbock, TX 79409 | 2007-02-14 |
| 1871996421 | Jason C Cohen | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-26 |
| 1710389317 | Texas Tech University | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-25 |
| 1215339452 | Wesley H Dotson | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-18 |
| 1265643654 | Sara Ann Smock | Marriage & Family Therapist | Applied and Professional Studies,broadway and Akron St., Rm 260, Human Sciences, Box 41162, Lubbock, TX 79409-1162 | 2007-05-25 |
| Find all providers in zip 79409 | ||||
| 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 |
|---|---|---|---|---|
| 1215538384 | Dustin Tyler Smith | Pharmacist | 3615 19th St # Ms 108, Lubbock, TX 79410-1203 | 2020-11-05 |
| 1811503386 | Rebecca Joann Tally | Pharmacist | 6101 43rd St # Stc, Lubbock, TX 79407-3749 | 2020-09-21 |
| 1710596507 | Thara Mary Issac | Pharmacist | 4510 Ironton Ave Apt 9103, Lubbock, TX 79407-3789 | 2020-07-28 |
| 1033727805 | Neely Hudson | Pharmacist | 14310 Uvalde Ave, Lubbock, TX 79423-2777 | 2020-07-17 |
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1851945786 | Will Burkett Ford I | Pharmacist | 6031 75th St, Lubbock, TX 79424-1935 | 2019-07-29 |
| 1700439445 | Megan Elizabeth Sneller | Pharmacist | 5813 91st St, Lubbock, TX 79424-3624 | 2019-07-22 |
| 1447813597 | Tiffany N Coomer | Pharmacist | 8062 Peach St, Lubbock, TX 79404 | 2019-04-15 |
| 1033682059 | Paul Wilbanks | Pharmacist | 12815 Indiana Ave., Lubbock, TX 79423-7942 | 2019-01-03 |
| 1437629300 | Monty Mcminn | Pharmacist | 3805 22nd St Ste 2a, Lubbock, TX 79410-1142 | 2018-12-04 |
| Find all providers in LUBBOCK | ||||
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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.