DR. LATASHA TOMEKA WISE (NPI# 1154757888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154757888 |
| Entity Type | Individual |
| Full Name | DR. LATASHA TOMEKA WISE |
| Credential | PHARMD |
| Practice Address |
815 Brashear Ave Morgan City LA 70380-1923 |
| Practice Telephone | 9853843302 |
| Mailing Telephone | 9853843302 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 020310 | LA | Pharmacy Service Providers |
| Street Address |
815 BRASHEAR AVE |
| City | MORGAN CITY |
| State | LA |
| Zip Code | 70380-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063683712 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2008-03-20 |
| 1134760846 | Dawn Guillot | Pharmacist | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2019-10-03 |
| 1962050682 | Quynh Pham | Pharmacist | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2019-08-27 |
| 1245712090 | Simone Catherine Mack | Pharmacist | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2018-08-29 |
| 1588065379 | Katheryn Leblanc | Pharmacist | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2014-09-11 |
| 1770843138 | Stacy L Richard | Pharmacist | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2012-05-19 |
| 1164702619 | Arielle Collins | Pharmacist | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2011-08-27 |
| 1174838056 | Shwanda Catrice Thibodaux | Pharmacist | 815 Brashear Ave, Morgan City, LA 70380-1923 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625486 | Aubree Elizabeth-grace Underwood | Counselor | Fairview Treatment Center, 1101 Southeast Blvd, Morgan City, LA 70380 | 2019-12-02 |
| 1235609827 | Lori Billiot | Counselor | 434 Lagonda Rd, Morgan City, LA 70380 | 2018-11-27 |
| 1942720255 | Landon Robinson | Non-emergency Medical Transport (VAN) | 1200 Victor II Blvd Suite 500, Morgan City, LA 70380 | 2017-06-27 |
| 1588198212 | Marcia Ann Blereau | Nurse Practitioner | 1122 8th St, Morgan City, LA 70380 | 2017-04-19 |
| 1316312119 | Daniel Lebeouf | Pharmacist | 1002 La-70, Morgan City, LA 70380 | 2015-12-04 |
| 1154667210 | Bayou Smiles Center | Dentist | 1205 Victor II Blvd, Morgan City, LA 70380 | 2012-12-18 |
| 1265788707 | Hpc Biologicals Inc | Pharmacy | 1234 David Dr Ste A, Morgan City, LA 70380 | 2012-08-02 |
| 1376824102 | Don Monroe Ryan | Pharmacist | 1301 Highway 90 East, Morgan City, LA 70380 | 2011-09-07 |
| 1235449067 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1216 Victor II Blvd, Ste 300, Morgan City, LA 70380 | 2010-10-14 |
| 1659600989 | Walter H. Daniels, M.d. A Professional Medical Corp. | Family Medicine | 1300 Lakewood Drive, Suite G, Morgan City, LA 70380 | 2009-12-16 |
| Find all providers in zip 70380 | ||||
| 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 |
|---|---|---|---|---|
| 1982262713 | Brady J Vilcan | Pharmacist | 1234 David Dr Ste B, Morgan City, LA 70380-1366 | 2019-06-05 |
| 1154833952 | Steve P Michel | Pharmacist | 1275 Belleview St, Morgan City, LA 70380-5351 | 2017-11-02 |
| 1053823831 | Robin Braud | Pharmacist | 926 7th St, Morgan City, LA 70380-1904 | 2017-11-01 |
| 1316312119 | Daniel Lebeouf | Pharmacist | 1002 La-70, Morgan City, LA 70380 | 2015-12-04 |
| 1144504432 | Cvs Pharmacy | Pharmacist | 6502 Highway 182 East, Morgan City, LA 70380-0000 | 2011-10-05 |
| 1376824102 | Don Monroe Ryan | Pharmacist | 1301 Highway 90 East, Morgan City, LA 70380 | 2011-09-07 |
| 1699074070 | Rite Aid | Pharmacist | 1301 Highway 90 E, Morgan City, LA 70380-5158 | 2011-03-24 |
| 1992014161 | Catherine L Russo | Pharmacist | 801 Gen Patton St, Morgan City, LA 70380-2860 | 2010-10-05 |
| 1437399698 | Cynthia Marie Calvert | Pharmacist | 1223 N Victor II Blvd, Morgan City, LA 70380-1327 | 2009-03-02 |
| 1114055951 | Louis Michael Spitale | Pharmacist | 1200 N Victor II Blvd, Morgan City, LA 70380-1326 | 2007-03-02 |
| Find all providers in MORGAN CITY | ||||
| City | MORGAN CITY |
| Zip Code | 70380 |
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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.