LALLIE KEMP MEDICAL CTR (NPI# 1154543767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154543767 |
| Entity Type | Organization |
| Organization Name | LALLIE KEMP MEDICAL CTR |
| Other Organization Name | LALLIE KEMP OUTPATIENT PHARMACY |
| Practice Address |
52579 Highway 51 S Independence LA 70443-2231 |
| Practice Telephone | 9858781317 |
| Practice Fax Number | 9858781548 |
| Mailing Telephone | 9858781317 |
| Mailing Fax Number | 9858781548 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | TODD FRICKER (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 9858781280 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHY004495IRX | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2035248 | 01 |
| Other Name | Type Code |
|---|---|
| LALLIE KEMP OUTPATIENT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558303420 | Lallie Kemp Medical Ctr | Physician Assistant | 52579 Highway 51 S, Independence, LA 70443-2231 | 2006-06-12 |
| 1972545846 | Lallie Kemp Medical Ctr | General Acute Care Hospital | 52579 Highway 51 S, Independence, LA 70443-2231 | 2006-06-12 |
| 1083661409 | Lallie Kemp Medical Ctr | General Acute Care Hospital | 52579 Highway 51 S, Independence, LA 70443-2231 | 2006-05-30 |
| Street Address |
52579 HIGHWAY 51 S |
| City | INDEPENDENCE |
| State | LA |
| Zip Code | 70443-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902891633 | Matloob Ur Rehman | Internal Medicine | 52579 Highway 51 S, Independence, LA 70443-2231 | 2005-09-19 |
| 1386200418 | Rochelle Amelia Young | Dietitian, Registered | 52579 Highway 51 S, Independence, LA 70443-2231 | 2019-05-14 |
| 1891210258 | Qler Touch La, LLC | Psychiatry & Neurology | 52579 Highway 51 S, Independence, LA 70443-2231 | 2017-08-07 |
| 1548670847 | Lashun Maudine Robinson | Nurse Practitioner | 52579 Highway 51 S, Independence, LA 70443-2231 | 2014-05-08 |
| 1710309166 | Kristen Muscarello | Nurse Practitioner | 52579 Highway 51 S, Independence, LA 70443-2231 | 2014-01-19 |
| 1912341454 | Waddah Mohamed Saeed | Family Medicine | 52579 Highway 51 S, Independence, LA 70443-2231 | 2013-04-26 |
| 1801177985 | Lloyd Joseph Gueringer IIi | Nurse Practitioner | 52579 Highway 51 S, Independence, LA 70443-2231 | 2011-09-02 |
| 1356630446 | Lydia B Richards | Emergency Medicine | 52579 Highway 51 S, Independence, LA 70443-2231 | 2011-03-29 |
| 1366767774 | Lallie Kemp Medical Center | General Acute Care Hospital | 52579 Highway 51 S, Independence, LA 70443-2231 | 2010-03-30 |
| 1164753554 | Tangipahoa Physician Services LLC | Hospitalist | 52579 Highway 51 S, Independence, LA 70443-2231 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696830 | Nicole Blanchard Chapel | Counselor | 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 | 2016-09-01 |
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1063842912 | Moritha Johnson | Licensed Practical Nurse | 14175 Rev. J. White Rd, Independence, LA 70443 | 2013-11-13 |
| 1053749739 | Southeast Community Health Systems | Clinic/Center | 336 East Railroad Avenue, Independence, LA 70443 | 2013-10-16 |
| 1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
| 1326345414 | Alfaa House Community Center | Psychiatric Hospital | 306 W 4th Street, Independence, LA 70443 | 2011-02-25 |
| 1609177864 | Charles R Genovese Jr Md Inc | Specialist | 312 E Rail Road Ave, Independence, LA 70443 | 2010-11-04 |
| 1437300233 | L A Homecare 1 Inc | In Home Supportive Care | 146 Hwy 40, C, Independence, LA 70443 | 2008-10-10 |
| 1770758120 | Ila Jean Cascio | Speech-Language Pathologist | 51642 Hwy 1065, Independence, LA 70443 | 2008-04-28 |
| Find all providers in zip 70443 | ||||
| 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 |
|---|---|---|---|---|
| 1225177140 | Jane Phillips Memorial Medical Center, Inc | Pharmacy | 800 W Laurel St, Independence, KS 67301-3211 | 2007-02-06 |
| 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 | ||||
| City | INDEPENDENCE |
| Zip Code | 70443 |
Please comment or provide details below to improve the information on LALLIE KEMP MEDICAL CTR.
| 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.