1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Pharmacist
  6. NPI Profile

MR. MARK RAYBURN R.PH.
NPI 1801345947
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shreveport, LA

Active since September 30, 2016
510 E STONER AVE, SHREVEPORT, LA 71101(870) 779-2750 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 25, 2024, Sep 30, 2016 (2 updates tracked since 2016).

About Mr. Mark Rayburn R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK RAYBURN R.PH. (NPI 1801345947) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Shreveport, Louisiana, licensed in Texas (39194) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1801345947
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMR. MARK RAYBURNCredential: R.PH.
Location Address510 E STONER AVEShreveport, LA 71101
Mailing Address103 West Lake RoadTexarkana, TX 75501 · (903) 908-3654
Phone(870) 779-2750
Sole ProprietorNo
Enumeration DateSeptember 30, 2016
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1801345947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in TX · 39194
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
510 E STONER AVE, Shreveport, LA 71101
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Rayburn's NPI number?

The NPI number for Mark Rayburn is 1801345947. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Where is Mark Rayburn located?

Mark Rayburn practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (870) 779-2750.

What is Mark Rayburn's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Mark Rayburn was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.