MARK RAYBURN R.PH. – NPI #1801345947
Pharmacist

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.

MARK RAYBURN is a pharmacist located in SHREVEPORT, LA. NPPES has assigned the NPI number 1801345947 to MARK RAYBURN on September 30, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was last updated on Sep 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK RAYBURN below.

NPI Profile for
MARK RAYBURN

NPI Number
1801345947
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK RAYBURN
Credentials
R.PH.
Primary location
510 E STONER AVE
SHREVEPORT, LA 71101
Phone: (870) 779-2750 Fax:
Mailing address
103 WEST LAKE ROAD
TEXARKANA, TX 75501
Phone: (903) 908-3654 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
TX 39194

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.