Mark Brian Baumgarner

Primary specialty

PharmacistTaxonomy code 183500000X

License

28824 Issued in TX

Practice address

3812 Gilmer Rd
Longview, TX 75604-1173

Phone

(903) 475-0477

Fax

(903) 475-0478

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores Texas LLC

  dba Walmart Pharmacy 10-4114

  • Community/Retail Pharmacy
  • Longview, TX
  • NPI 1821404534
  NPD (past)
• Wal-Mart Stores Texas, LLC

  dba Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1568067890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 SYCAMORE ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885663",
            "telephone_number": "214-673-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041173",
            "telephone_number": "903-475-0477",
            "fax_number": "903-475-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARNER",
        "first_name": "MARK",
        "middle_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "28824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Barton
• Alex Charles Basdeo, DO
• Gautam Baskaran, MD
• Kalpana Kumari Basoor, MD
• Jeani Battershell
• Baylor Pathology
• Catrina Beard, CRNA-MSN
• Sintique Beasley, L.B.S.W.
• Beatty Audiology and Hearing AIDS
• Charles W Beatty Jr., MA, FAAA

• Pharmacist in Longview, TX
• Providers in Longview, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.