Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Rayburn, RPH

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1801345947

Mr. Mark Rayburn, RPH is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shreveport, Louisiana. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101
Phone: (870) 779-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 39194 (TX)

Record details

NPI number1801345947
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 30, 2016
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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