Timothy S Oursbourn, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

39024 Issued in TX

Practice address

3402 Slide Rd
Lubbock, TX 79414-2542

Phone

(806) 797-8840

Fax

(806) 797-1851

NPI assigned

Jul 29, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)
• CVS Pharmacy Inc

  • Pharmacy
  • Lubbock, TX
  • NPI 1528162302
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1598770737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 AVENUE Q",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793636407",
            "telephone_number": "806-928-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794142542",
            "telephone_number": "806-797-8840",
            "fax_number": "806-797-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OURSBOURN",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO STATE BOARD OF PHARMACY",
            "identifier": "RP00007099",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "39024",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Leigh Oster, LCSW
• Monica Clare Osterbauer
• Elissa Ostrander, PHARMD
• Mohammad Otahbachi, M.D.
• Wesley D Otto, FNP-C
• Kia Ousley, MD
• Outreach Health Community Care Services
• Outreach Health Community Care Services LP
• Megan Elizabeth Overby, M.S. SLP
• Paul A Overlie, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.