DR. SARAH JOLYNE BULLOCK (NPI# 1891150645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891150645 |
| Entity Type | Individual |
| Full Name | DR. SARAH JOLYNE BULLOCK |
| Credential | PHARMD |
| Practice Address |
913 S Main St Del Rio TX 78840-5807 |
| Practice Telephone | 8307756200 |
| Mailing Telephone | 8307756200 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51993 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942779806 | Sarah Bullock | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1003116443 | Sarah J Bullock | Social Worker | 645 S Rogers St, Bloomington, IN 47403-2353 | 2010-11-02 |
| Street Address |
913 S MAIN ST |
| City | DEL RIO |
| State | TX |
| Zip Code | 78840-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821085176 | Angel Martinez | General Practice | 913 S Main St, Del Rio, TX 78840-5807 | 2005-10-03 |
| 1558973982 | Jeen Philip | Nurse Practitioner | 913 S Main St, Del Rio, TX 78840-5807 | 2020-08-18 |
| 1750913299 | Patricia Garcia Gomez | Registered Nurse | 913 S Main St, Del Rio, TX 78840-5807 | 2020-02-11 |
| 1194278598 | Stephanie Wolfe | Nurse Practitioner | 913 S Main St, Del Rio, TX 78840-5807 | 2016-08-02 |
| 1215311782 | Jaime Arturo Solis | Social Worker | 913 S Main St, Del Rio, TX 78840-5807 | 2015-07-15 |
| 1184007833 | Stephanie Eyestone | General Practice | 913 S Main St, Del Rio, TX 78840-5807 | 2015-06-30 |
| 1891125191 | Sara Fantauzzi | Physician Assistant | 913 S Main St, Del Rio, TX 78840-5807 | 2013-11-22 |
| 1942574991 | Anna Laura Antu | Nurse Practitioner | 913 S Main St, Del Rio, TX 78840-5807 | 2012-03-07 |
| 1558555052 | Lee Thomas Keenen Jr. | Podiatrist | 913 S Main St, Del Rio, TX 78840-5807 | 2007-08-28 |
| 1003024944 | Jose L De Leon | Physician Assistant | 913 S Main St, Del Rio, TX 78840-5807 | 2007-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
| 1538605621 | Maternity Care Center | Advanced Practice Midwife | 1308 Las Vacas St, Del Rio, TX 78840 | 2017-01-12 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1902232259 | Ruben E Mora | Dentist | 551 W Cantu Rd., Del Rio, TX 78840 | 2013-09-18 |
| 1326489758 | Javier Rodriguez-sanchez | Internal Medicine | 2201 N Bedell Ave Ste E, Del Rio, TX 78840 | 2013-07-15 |
| 1205111267 | Raymond Keith Blottin | Counselor | 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 | 2011-10-20 |
| 1194011072 | Nicole Alexcine Deboer | Physician Assistant | 913 S. Main St., United Medical Centers, Del Rio, TX 78840 | 2011-06-20 |
| 1205125713 | Del Rio Ambulance LLC | Ambulance | 126 W. Ogden St., Del Rio, TX 78840 | 2011-04-05 |
| 1285880476 | Luis Carlos Salinas | Obstetrics & Gynecology | 3614 Cocobolo Street, Del Rio, TX 78840 | 2008-08-07 |
| 1417158239 | Heart Specialists of Texas Pa | Internal Medicine | 1109 Ave K, Del Rio, TX 78840 | 2007-05-30 |
| Find all providers in zip 78840 | ||||
| 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 |
|---|---|---|---|---|
| 1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
| 1790763068 | Glen Edward Wiese | Pharmacist | 714 N Bedell Ave, Del Rio, TX 78840-4111 | 2006-01-05 |
| 1184224958 | Kayla Kothmann Davis | Pharmacist | 2410 Dodson Ave, Del Rio, TX 78840-8009 | 2020-10-29 |
| 1669072443 | Tserha Tekeste | Pharmacist | 2410 Dodson Ave, Del Rio, TX 78840-8009 | 2020-10-29 |
| 1497355705 | Dealer William Rockwell | Pharmacist | 2410 Dodson Ave, Del Rio, TX 78840-8009 | 2020-10-27 |
| 1447850664 | Ernest Eugene Juarez | Pharmacist | 2410 Dodson Ave, Del Rio, TX 78840-8009 | 2020-10-27 |
| 1053918037 | Jarrod David Rodriguez | Pharmacist | 909 Veterans Blvd, Del Rio, TX 78840-4065 | 2020-10-03 |
| 1215564364 | Andrea Lea Lopez | Pharmacist | 200 Avenue F, Del Rio, TX 78840-4658 | 2020-03-26 |
| 1740522572 | Ruben Cardenas | Pharmacist | 200 Veterans Blvd, Del Rio, TX 78840-4658 | 2013-03-19 |
| 1710228515 | Clarissa Mauricio | Pharmacist | 200 Veterans Blvd, Del Rio, TX 78840-4658 | 2013-03-05 |
| Find all providers in DEL RIO | ||||
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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.