Earlene Ann Ainsley, RPH
Individual provider Active NPI Pharmacist · Texarkana, TX
NPI 1992506752 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1992506752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24854 (TX)
- Practice address
- 2604 Saint Michael Dr Ste 200
Texarkana, TX 75503-2378 - Phone
- (903) 614-2200
- Fax
- (903) 614-2868
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 24854 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24854 | TX | Yes |
Addresses
Primary practice location
2604 Saint Michael Dr Ste 200
Texarkana, TX 75503-2378
Mailing address
2604 Saint Michael Dr Ste 200
Texarkana, TX 75503-2378
Phone (903) 614-2200
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. 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.