ERICKA ANN COMER (NPI# 1487120283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487120283 |
Entity Type | Individual |
Full Name | ERICKA ANN COMER |
Practice Address |
6104 Avenue Q South Dr Lubbock TX 79412-3700 |
Mailing Address |
6020 84th St Lubbock TX 79424-3685 |
Practice Telephone | 8064723400 |
Mailing Telephone | 8088403411 |
Enumeration Date | 2018-10-18 |
Last Update Date | 2018-10-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 03224441 | OH | Pharmacy Service Providers |
Street Address |
6104 AVENUE Q SOUTH DR |
City | LUBBOCK |
State | TX |
Zip Code | 79412-3700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942202999 | Timothy A Mazzolini | Pharmacist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2005-08-10 |
1316567670 | Wanda Jean Howard | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-04-16 |
1760014112 | Fabian Carmona | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-02-04 |
1346807708 | Andrea Rochelle Carrillo | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2019-05-21 |
1205394285 | Courtney E Walraven | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2019-03-07 |
1003382078 | Malory Shanks | Nurse Practitioner | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-10-17 |
1891271524 | Beverly Lynn Jones | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-07-16 |
1699210237 | Frances Shaw | Physical Therapist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-05 |
1437694130 | Brittney Marie Williamson | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-04 |
1376088062 | Kathy Duc Le | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
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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 |
---|---|---|---|---|
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 |
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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.