Mark A Beaman, R.PH.
Individual provider Active NPI Pharmacist · Colleyville, TX
NPI 1881920494 · NPPES record last updated Nov 2, 2009
Key facts
- NPI
- 1881920494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 41375 (TX)
- Practice address
- 3830 Glade Rd
Colleyville, TX 76034-4829 - Phone
- (817) 283-3786
- Fax
- (817) 283-8492
- NPI assigned
- Nov 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41375 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41375 | TX | Yes |
Addresses
Primary practice location
3830 Glade Rd
Colleyville, TX 76034-4829
Mailing address
3830 Glade Rd
Colleyville, TX 76034-4829
Phone (817) 283-3786
Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.