Provider Demographics
NPI:1376575753
Name:BARNES, J NILE (EMT-P(LP), PHARMD, B)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:NILE
Last Name:BARNES
Suffix:
Gender:M
Credentials:EMT-P(LP), PHARMD, B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9819 BUCKSKIN TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-9684
Mailing Address - Country:US
Mailing Address - Phone:512-413-6569
Mailing Address - Fax:
Practice Address - Street 1:2409 UNIVERSITY AVE
Practice Address - Street 2:U OF TEXAS COLLEGE OF PHARMACY
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1112
Practice Address - Country:US
Practice Address - Phone:512-232-3494
Practice Address - Fax:512-471-3756
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8141146L00000X
TX436021835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic