JERROLD WALKER SMITH (NPI# 1144503475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144503475 |
| Entity Type | Individual |
| Full Name | JERROLD WALKER SMITH |
| Credential | RPH |
| Practice Address |
366 Sam Houston Jones Pkwy Lake Charles LA 70611-5602 |
| Practice Telephone | 3378551341 |
| Practice Fax Number | 3378554273 |
| Mailing Telephone | 3378551341 |
| Mailing Fax Number | 3378554273 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10165 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396892030 | Jerrold Wayne Smith | Dentist | 2000 W. 95th. Street, Chicago, IL 60643-1116 | 2007-01-04 |
| 1578567202 | Jerrold R Smith | Pediatrics | 7910 E Washington St, Suite 200, Indianapolis, IN 46219-6803 | 2005-06-10 |
| 1871108258 | Jerrold Smith | Counselor | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-09-11 |
| 1629160676 | Jerrold T Smith | Counselor | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-09-28 |
| Street Address |
366 SAM HOUSTON JONES PKWY |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70611-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255646287 | Krystal Mcfarlain | Pharmacist | 366 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5602 | 2010-08-14 |
| 1447797477 | Staci Guidry | Pharmacist | 366 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5602 | 2017-01-29 |
| 1194129486 | Eric Welch | Pharmacist | 366 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5602 | 2014-10-15 |
| 1205235744 | Cvs/caremark | Pharmacy | 366 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5602 | 2014-08-21 |
| 1902189335 | Michelle Yvette Chapman | Pharmacist | 366 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5602 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| Find all providers in zip 70611 | ||||
| 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 |
|---|---|---|---|---|
| 1407308034 | Madeline Landry | Pharmacist | 3731 Inwood Dr, Lake Charles, LA 70605-6770 | 2016-10-31 |
| 1376099143 | Jessica Pete | Pharmacist | 2818 Barb Ln, Lake Charles, LA 70607-7645 | 2016-08-31 |
| 1225498306 | Raven Rachelle Miranda | Pharmacist | 6031 Nelson Rd, Lake Charles, LA 70605-0468 | 2016-03-02 |
| 1386018661 | Joseph Tchani | Pharmacist | 1605 Whispering Woods Dr, Lake Charles, LA 70605-1300 | 2015-11-24 |
| 1861878803 | Chelsey Trammell | Pharmacist | 2000 Gerstner Memorial Dr, Lake Charles, LA 70601 | 2015-07-31 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1417356544 | Scott Labiche | Pharmacist | 3415 Highway 14, Lake Charles, LA 70607-2147 | 2014-08-14 |
| 1023417151 | Kyle Gardner | Pharmacist | 2500 North Highway 171, Lake Charles, LA 70601 | 2014-08-14 |
| 1598188443 | Lores Roeder | Pharmacist | 5721 Alder St, Lake Charles, LA 70605-0496 | 2014-01-29 |
| 1508290768 | Shanna Tiffany Simon | Pharmacist | 899 N Highway 171, Lake Charles, LA 70611-5034 | 2013-08-23 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70611 |
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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.