DR. AMANDA SIMS DOMINGUEZ (NPI# 1023419785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023419785 |
| Entity Type | Individual |
| Full Name | DR. AMANDA SIMS DOMINGUEZ |
| Credential | PHARM D. |
| Practice Address |
4974 Highway 3276 Ste B Stonewall LA 71078-9335 |
| Practice Telephone | 3187754371 |
| Practice Fax Number | 3187757369 |
| Mailing Telephone | 3187754371 |
| Mailing Fax Number | 3187757369 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 019390 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265059307 | Amanda Antoinette Dominguez | Physician Assistant | 1240 S Westlake Blvd Ste 205, Westlake Village, CA 91361-1992 | 2020-07-05 |
| 1184135139 | Amanda Dominguez | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2017-10-17 |
| 1174032205 | Amanda Dominguez | Community Health Worker | 4560 S Eastern Ave Ste 15, Las Vegas, NV 89119-6182 | 2017-09-20 |
| 1396108338 | Amanda Dominguez | Occupational Therapist | 1635 Ohio St, Watertown, NY 13601-3032 | 2016-03-29 |
| Street Address |
4974 HIGHWAY 3276 STE B |
| City | STONEWALL |
| State | LA |
| Zip Code | 71078-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255732012 | Ndd LLC | Pharmacy | 4974 Highway 3276 Ste B, Stonewall, LA 71078-9306 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982033858 | Stonewall Family Pharmacy | Pharmacy | 160 Stonecreek Dr, Suite C, Stonewall, LA 71078 | 2013-11-01 |
| 1508029570 | Emily Carol Ryan Cristler | Physical Therapist | 2070 Highway 171 Ste C, Stonewall, LA 71078 | 2008-07-09 |
| 1144422650 | Panakeia Health Services, L.L.C. | Psychiatric Hospital | 960 Hwy. 171 South, Stonewall, LA 71078 | 2007-06-05 |
| 1851849293 | Lejasmine Hall | Counselor | 671 Hwy 171 Suite C, Stonewall, LA 71078 | 2016-09-14 |
| 1649810870 | Robin Carroll | Counselor | 283 Sandpiper Ln, Stonewall, LA 71078-2805 | 2020-01-15 |
| 1720434137 | D N L Outpatient Rehab, LLC | Community/Behavioral Health | 671 Hwy 171 Suite C, Stonewall, LA 71078-3312 | 2016-05-04 |
| 1053705814 | Ltc Specialty | Pharmacy | 2068 Highway 171, Suite 5, Stonewall, LA 71078-3905 | 2015-03-19 |
| 1093177263 | Lucy Smith | Counselor | 327 Lesa Ln, Stonewall, LA 71078-4405 | 2016-03-25 |
| 1952634818 | Holly Renee' Russo | Registered Nurse | 158 Tanner St, Stonewall, LA 71078-4455 | 2009-09-10 |
| 1184240293 | Carrie Jo Moton | Nurse Practitioner | 149 Stone Creek Rd, Stonewall, LA 71078-4906 | 2020-06-24 |
| Find all providers in zip 71078 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043604416 | Latis Mcinnis | Pharmacist | 366 Leigh Ln, Stonewall, LA 71078-5414 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729734 | Devin K Richardson | Pharmacist | 113 Sam Dr, West Monroe, LA 71291-6978 | 2020-11-01 |
| 1194324830 | Shane A Tatman | Pharmacist | 216 Christie Lea Dr, Opelousas, LA 70570-6804 | 2020-10-23 |
| 1306443932 | Nancy Odom | Pharmacist | 814 Fortune Rd, Youngsville, LA 70592-5542 | 2020-10-06 |
| 1982211397 | Bradford Louis Morgan | Pharmacist | 9084 Ferry Creek Dr, Shreveport, LA 71106-8404 | 2020-09-29 |
| 1174139208 | Lauren Leblanc | Pharmacist | 2825 Grand Point Hwy Lot 9, Breaux Bridge, LA 70517-6972 | 2020-09-23 |
| 1306453451 | Benjamin Allbritton | Pharmacist | 1333 Coates Bluff Dr Apt 1324, Shreveport, LA 71104-2823 | 2020-09-23 |
| 1720693203 | Thu Nguyen Hoai Dinh | Pharmacist | 3636 Connecticut Ave, Kenner, LA 70065-3429 | 2020-09-11 |
| 1518571702 | Kiersten Rapp | Pharmacist | 1155 Magnolia Heights St, Vacherie, LA 70090-5504 | 2020-09-04 |
| 1376156711 | Brandy Gallow | Pharmacist | 17122 Airline Highway, Prairieville, LA 70769-3402 | 2020-08-25 |
| 1598376881 | Jessica Thiac Aucoin | Pharmacist | 16759 La-3235, Galliano, LA 70345 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.