PRIORITY HEALTH CARE (NPI# 1023571536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023571536 |
Entity Type | Organization |
Organization Name | PRIORITY HEALTH CARE |
Other Organization Name | PRIORITY HEALTH CARE PHARMACY - GRETNA |
Practice Address |
12a Westbank Expy Ste 101 Gretna LA 70053-3659 |
Mailing Address |
4700 Wichers Dr Ste 306 Marrero LA 70072-3054 |
Practice Telephone | 5045095442 |
Practice Fax Number | 5045095421 |
Mailing Telephone | 5043096522 |
Mailing Fax Number | 5043099307 |
Enumeration Date | 2019-04-11 |
Last Update Date | 2019-10-29 |
Authorized Official Name | MS. TAMARA BOUTTE (CEO) |
Authorized Official Telephone | 5043096522 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Priority Health Care Pharmacy - Gretna | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952886715 | Priority Health Care | Community/Behavioral Health | 12a Westbank Expy Ste 100, Gretna, LA 70053-3659 | 2018-09-27 |
1538403993 | Priority Health Care | Exclusive Provider Organization | 2048 Midway Ave, Chesapeake, VA 23324-2849 | 2012-11-23 |
1609136563 | Priority Health Care | Case Management | 4700 Wichers Dr # 304-305, Marrero, LA 70072-3041 | 2012-05-24 |
1841522711 | Priority Health Care | Case Management | 12a Westbank Expy Ste 111-112, Gretna, LA 70053-3659 | 2010-02-03 |
1346725108 | Priority Health Care | Pediatrics | 4700 Wichers Dr Ste 307, Marrero, LA 70072-3054 | 2018-09-27 |
1427419811 | Priority Health Care | Clinic/Center | 4700 Wichers Dr, Suite 303, Marrero, LA 70072-3041 | 2016-03-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | PRIORITY HEALTH CARE INC. | 120 Monument Cir, Indianapolis, Indiana 46204 |
Street Address |
12A WESTBANK EXPY STE 101 |
City | GRETNA |
State | LA |
Zip Code | 70053-3659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952917247 | Lindsey Boler | Case Manager/Care Coordinator | Maxima Group Behavioral Services, 405 Gretna Blvd, LA 70053 | 2020-09-22 |
1184254658 | Denni Turner | Counselor | 2100 Belle Chasse Hwy., Gretna, LA 70053 | 2020-01-23 |
1871068478 | Nhi Cam Tran | Pharmacist | 629 Derbigny St, Gretna, LA 70053 | 2018-10-10 |
1639655574 | Rachel Lynn White | Massage Therapist | 2120 Belle Chase Hwy, Gretna, LA 70053 | 2018-07-13 |
1982193165 | Quality Care Home Care LLC | In Home Supportive Care | 310 Huey P Long Ave Ste 109, Gretna, LA 70053 | 2018-05-03 |
1073021663 | Nola Psychotherapy Center | Counselor | 405 Gretna Boulevard, Suite 200, Gretna, LA 70053 | 2018-01-17 |
1396256707 | Quality Independent Case Management, LLC | Case Management | 1530 Huey P Long Ave, Gretna, LA 70053 | 2017-10-12 |
1790223444 | Tekira Fox | Case Manager/Care Coordinator | 1500 Lafayette St. Ste 140, Gretna, LA 70053 | 2017-02-02 |
1710359542 | Joshua Washington | Counselor | 2100 Belle Chasse Highway, Gretna, LA 70053 | 2015-10-20 |
1174877328 | Audra Javaise Tousaint | Counselor | 405 Gretna Blvd Ste 200, Gretna, LA 70053 | 2012-11-08 |
Find all providers in zip 70053 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572049 | Fmol Health Systems | Pharmacy | 4809 Ambassador Caffery Pkwy Ste 120a, Lafayette, LA 70508-8800 | 2020-09-11 |
1548823370 | Pbm Solutions Coushatta LLC | Pharmacy | 287 Panther Trail Dr, Kinder, LA 70648 | 2019-04-17 |
1114495355 | Iberia Comprehensive Community Health Center | Pharmacy | 1009 Charity Street, Abbeville, LA 70510-5239 | 2018-11-06 |
1780152157 | Vernon Parish Community Health Center Pharmacy | Pharmacy | 298 Nolan Trace Pkway, Leesville, LA 71446-3912 | 2018-11-05 |
1639702087 | Teche Action Board, Inc. | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2020-02-13 |
1790158681 | Obh Region 8 Pharmacy | Pharmacy | 4800 S Grand St, Monroe, LA 71202-6412 | 2015-11-02 |
1558756742 | South Central La Human Services Authority Pharmacy | Pharmacy | 1809 W Airline Hwy, La Place, LA 70068-3336 | 2015-04-03 |
1740617364 | Our Lady of The Angels Hospital, Inc. | Pharmacy | 400 Memphis Street, Bogalusa, LA 70427 | 2013-09-27 |
1790021939 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
1831490531 | Specialists Hospital of Shreveport LLC | Pharmacy | 1500 Line Ave, Ste #104b, Shreveport, LA 71101-4639 | 2010-11-11 |
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.