Marsha Lynn Bloodworth, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

33547 Issued in TX

Practice address

2200 Berquist Drive
Wilford Hall Med Center Pharmacy Squadron
Lackland Afb, TX 78236

Phone

(210) 292-7935

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1881892750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 CAFE TER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514989",
            "telephone_number": "210-451-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERQUIST DRIVE",
            "address_2": "WILFORD HALL MED CENTER PHARMACY SQUADRON",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODWORTH",
        "first_name": "MARSHA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "33547",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "2110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Charles Batzer Jr., D.D.S.
• Robin E Becker
• Madushani Wijetunge Belt, MD
• Terence Gerald Benson Jr., PHARMD
• Brian S Berke, M.D.
• John Anthony Blue Star
• Caroline Alice Bolduc, D.O.
• Karina Bostwick, D.O.
• Kimberly Suzann Bracey, NP
• John Ryan Brewer, DO

• Pharmacist in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.