DR. PATRICIA ANN TABOR (NPI# 1730291089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730291089 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA ANN TABOR |
| Credential | PHARM.D. |
| Practice Address |
1605 S 31st St Temple TX 76508-0001 |
| Mailing Address |
Po Box 690 Georgetown TX 78627-0690 |
| Practice Telephone | 2542159117 |
| Practice Fax Number | 2542159106 |
| Mailing Telephone | 2542159117 |
| Mailing Fax Number | 2542159106 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
24870 | TX | Pharmacy Service Providers |
| Street Address |
1605 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639138605 | Edward Wilson Nicklas II | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2006-03-20 |
| 1548767825 | Hanna Blaney | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2018-04-12 |
| 1497250336 | John Vu | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2018-03-23 |
| 1043714447 | Maitryben Mukundbhai Patel | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2018-03-20 |
| 1245747153 | Rojina Yogal | Nurse Practitioner | 1605 S 31st St, Temple, TX 76508-0001 | 2018-01-02 |
| 1780114504 | Marcus Samuel Davis | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2017-06-14 |
| 1659809630 | Bryce Carl Rhodehouse | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2017-06-02 |
| 1841646726 | Trace Heavener | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2016-05-10 |
| 1386008803 | Samantha Jaye Allen | Internal Medicine | 1605 S 31st St, Temple, TX 76508-2570 | 2016-04-11 |
| 1831599042 | Joshua Scott Marin | Physician Assistant | 1605 S 31st St, Temple, TX 76508-0001 | 2014-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101741 | Nikesh Patel | Pharmacist | 114 Gentle Breeze Ct, Temple, GA 30179-5432 | 2020-07-16 |
| 1003955584 | Paul John Godley | Pharmacist | 2601 Thornton Lane, Suite A, Temple, TX 76502 | 2007-02-05 |
| 1366479362 | Andrea Lynn Coffee | Pharmacist | Scott & White Memorial Hospital and Clinic, 2401 S. 31st St, Temple, TX 76508-0001 | 2006-06-26 |
| 1548602618 | Sudonna Nash Cilliers | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2013-07-18 |
| 1669817904 | Emory Spencer Martin IIi | Pharmacist | 2401 S 31st St, Swmh Pharmacy Ms-01-055, Temple, TX 76508-0001 | 2013-04-30 |
| 1225136468 | Charlotte Ann Luebbert | Pharmacist | 2601 Thornton Ln, Suite A, Temple, TX 76502-1808 | 2006-09-20 |
| 1083626857 | Nancy L Small | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2006-08-12 |
| 1043221716 | Alice Kathleen Lynch | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2006-08-10 |
| 1346250263 | Stephen Lloyd Melde | Pharmacist | 1901 S 1st St, Pharmacy (119), Temple, TX 76504-7451 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151193 | Lori Jean Krustchinsky | Pharmacist | 1220 Hobbs Reach Ln, Houston, TX 77008-6464 | 2020-07-07 |
| 1699390609 | Vincent Wong | Pharmacist | 13501 Hymeadow Cir, Austin, TX 78729-1763 | 2020-06-15 |
| 1750917282 | Ayeshia Duru | Pharmacist | 1321 Canterbury Dr, Allen, TX 75013-7067 | 2020-03-16 |
| 1639703416 | Uchenna Comfort Orji | Pharmacist | 8803 Noah Lndg, Houston, TX 77064-4392 | 2020-03-02 |
| 1316577695 | Osita Stephen Okafor Jr. | Pharmacist | 8440 N Sam Houston Pkwy E Apt 832, Humble, TX 77396-2971 | 2020-01-25 |
| 1023658093 | Islam Abdelhamid | Pharmacist | 1911 Holcombe Blvd Apt 1728, Houston, TX 77030-4192 | 2020-01-08 |
| 1851934640 | Karen Ugwu | Pharmacist | 1212 Corporate Dr, Irving, TX 75038-2502 | 2019-10-24 |
| 1588136675 | Jose Martin Penaloza | Pharmacist | 12002 Barrycliff Ct, Houston, TX 77070-5447 | 2018-12-30 |
| 1790252054 | Jenna Lynne Snoga | Pharmacist | 7400 Merton Minter San Antonio, San Antonio, TX 78229 | 2018-10-25 |
| 1679048151 | Richard William Molinaro Jr. | Pharmacist | 708 Tall Pines Dr, Friendswood, TX 77546-4456 | 2018-10-10 |
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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.