JEFFERY WAYNE OFFUTT (NPI# 1972966935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972966935 |
| Entity Type | Individual |
| Full Name | JEFFERY WAYNE OFFUTT |
| Credential | RPH |
| Practice Address |
1107 E Marshall Ave Longview TX 75601-5602 |
| Practice Telephone | 9037582610 |
| Practice Fax Number | 9037587081 |
| Mailing Telephone | 9037582610 |
| Mailing Fax Number | 9037587081 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 35634 | TX | Pharmacy Service Providers |
| Street Address |
1107 E MARSHALL AVE |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772863 | Mark Allison Little | Optometrist | 1107 E Marshall Ave, Longview, TX 75601 | 2005-07-03 |
| 1780205427 | Kimberly Denise Prince | Nurse Practitioner | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2020-05-05 |
| 1942847868 | Bethany Dawn Walker | Social Worker | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-12-10 |
| 1023650082 | Lizeth Garcia | Registered Nurse | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-10-11 |
| 1508426727 | Brenda Greer-jennings | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-06-19 |
| 1659836252 | Beverly Sumners | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-02-07 |
| 1164993382 | Emili Deane Lim | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2018-12-16 |
| 1598241309 | Elizabeth A Shireman | Nurse Practitioner | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2018-07-15 |
| 1205381936 | Christa Oberthier | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2016-08-23 |
| 1255713251 | Janet Hays | Spec/Tech, Cardiovascular | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| 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 |
|---|---|---|---|---|
| 1033723168 | Aubren Martin Emberton | Pharmacist | 2609 Windmill Ln, Longview, TX 75601-5953 | 2020-09-05 |
| 1457991127 | Susan Marie Foster | Pharmacist | 1606 Hillmont Ave, Longview, TX 75601-3857 | 2020-01-10 |
| 1639681711 | Cuc Linh Thi Huynh | Pharmacist | 4006 Estes Pwky, Longview, TX 75603 | 2017-10-30 |
| 1285188714 | Alfred Mudoh | Pharmacist | 710 Crepe Myrtle Ln, Longview, TX 75604-6906 | 2016-08-12 |
| 1467865576 | Gunars Arnits | Pharmacist | 2403 E Lynnwood Dr, Longview, WA 98632-5769 | 2014-06-05 |
| 1164702650 | Eunha Do | Pharmacist | 115 E Hawkins Pkwy, Apt 621, Longview, TX 75605-3614 | 2011-08-28 |
| 1316232507 | Kristen Brooks Thompson | Pharmacist | 3092 N Eastman Rd, T2283, Longview, TX 75605-5175 | 2011-06-15 |
| 1386951788 | Joseph Michael Welch | Pharmacist | 364 Triangle Shopping Ctr, Longview, WA 98632-4651 | 2010-09-07 |
| 1285958975 | Travis Mark Dunn | Pharmacist | 1100 Mccann Rd, Longview, TX 75601-4541 | 2010-03-24 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| Find all providers in LONGVIEW | ||||
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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.