MR. ROBERT MEDINA JR. B.S.-R.PH. NPI 1003802307

Pharmacist in Amarillo, TX

Individual Male Pharmacist

About ROBERT MEDINA

Robert Medina is a provider established in Amarillo, Texas and his medical specialization is pharmacist. The NPI number of Robert Medina is 1003802307 and was assigned on September 2005. The practitioner's primary taxonomy code is 183500000X with license number 35514 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI

1003802307

Provider NameMR. ROBERT MEDINA JR. B.S.-R.PH.
Provider Location Address6010 AMARILLO BLVD WEST AMARILLO, TX 79106
Provider Mailing Address21 TIFFANY LN CANYON, TX 79015
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date09-22-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code183500000X
ClassificationPharmacist
TypePharmacy Service Providers
License No.35514
License StateTX
Taxonomy DescriptionAn 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.

Business Address

MR. ROBERT MEDINA JR. B.S.-R.PH.
6010 AMARILLO BLVD WEST
AMARILLO, TX
ZIP 79106
Phone: (806) 354-7898
Fax: (806) 354-7857

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Mailing Address

MR. ROBERT MEDINA JR. B.S.-R.PH.
21 TIFFANY LN
CANYON, TX
ZIP 79015
Phone: (806) 341-1018
Fax: (806) 354-7857

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033406855MR. MATTHEW HOLCOMB NP-C
Individual
Nurse Practitioner (Family)6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 220-9444
1073540563MRS. KATRINA DARLENE BRESSLER RD, LD
Individual
Dietitian, Registered6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 355-9703
1083671275DR. STEPHEN EDGAR WRIGHT MD
Individual
Internal Medicine (Hematology)6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 354-7871
1154420305DR. CATHERINE THERESA BACK AU.D.
Individual
Audiologist6010 AMARILLO BLVD WEST VA AUDIOLOGY CLINIC (126)
AMARILLO, TX 79106
(806) 355-9703
1174543052 DEBRA EHLY PT
Individual
Physical Therapist6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 354-7834
1336235985MR. RICKY DON BROYLES RDCS
Individual
Spec/Tech, Cardiovascular (Sonography)6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 355-9703
1497701387MRS. PRESTINE WELLS FULTON RD, LD
Individual
Dietitian, Registered6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 355-9703
1831119874MR. RICHARD KEVIN NICHOLSON P.T.
Individual
Physical Therapist6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 355-9703
1841384286MR. JIMMY DON FOX RRT
Individual
Respiratory Therapist, Registered6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 355-9703
1932384377DR. ANDREW BAMNJO TATAH M.D
Individual
Specialist6010 AMARILLO BLVD WEST THOMAS E. CREEK VA MEDICAL CENTER
AMARILLO, TX 79106
(806) 355-9703
1972602878MS. DEBORAH LYNN HIATT MSW
Individual
Social Worker (Clinical)6010 AMARILLO BLVD WEST
AMARILLO, TX 79106
(806) 355-9703

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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