MR. OTIS LEMA DERBONNE (NPI# 1659547206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659547206 |
| Entity Type | Individual |
| Full Name | MR. OTIS LEMA DERBONNE |
| Credential | PHARM.D. |
| Practice Address |
122 W Collin Leonard TX 75452 |
| Mailing Address |
Po Box 1229 Leonard TX 75452-1229 |
| Practice Telephone | 9035873363 |
| Practice Fax Number | 9035872714 |
| Mailing Telephone | 9035873363 |
| Mailing Fax Number | 9035872714 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 29463 | TX | Pharmacy Service Providers |
| Street Address |
122 W COLLIN |
| City | LEONARD |
| State | TX |
| Zip Code | 75452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416746 | Lawrence Corcoran | Pharmacist | 122 W Collin St, Leonard, TX 75452 | 2020-08-06 |
| 1376878090 | Robin Denise Kent | Physician Assistant | 700 N Hwy 78, Leonard, TX 75452 | 2009-10-14 |
| 1851526206 | Leonard Family Chiropractic | Chiropractor | 100 East Collin St, Leonard, TX 75452 | 2009-05-28 |
| 1801062849 | Herbert Eugene Kegans | Pharmacist | 122 West Collin St, Leonard, TX 75452 | 2008-04-30 |
| 1003081621 | Kacey Kegans Blackerby | Pharmacist | 122 W. Collin St., Leonard, TX 75452 | 2008-04-24 |
| 1760653174 | Sharon L Paine | Nurse Practitioner | 700 East Hwy 78, Leonard, TX 75452 | 2008-03-13 |
| 1285749291 | Theresa Heaton | Dentist | 570 S Us Hwy 69, Leonard, TX 75452 | 2006-08-20 |
| 1528283306 | Health Texas Provider Network | Clinic/Center | 700 N State Highway 78, Leonard, TX 75452-0198 | 2007-04-16 |
| 1568080364 | Hunt Regional Medical Partners | Clinic/Center | 700 N State Highway 78, Leonard, TX 75452-0198 | 2020-07-08 |
| 1245714153 | Nathan English Parks | Nurse Practitioner | 700 N State Highway 78, Leonard, TX 75452-0198 | 2018-09-18 |
| Find all providers in zip 75452 | ||||
| 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 |
|---|---|---|---|---|
| 1902416746 | Lawrence Corcoran | Pharmacist | 122 W Collin St, Leonard, TX 75452 | 2020-08-06 |
| 1801062849 | Herbert Eugene Kegans | Pharmacist | 122 West Collin St, Leonard, TX 75452 | 2008-04-30 |
| 1003081621 | Kacey Kegans Blackerby | Pharmacist | 122 W. Collin St., Leonard, TX 75452 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| 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.