BRYAN W PRINCE (NPI# 1164722179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164722179 |
| Entity Type | Individual |
| Full Name | BRYAN W PRINCE |
| Credential | PHARMD |
| Practice Address |
9983 Bluebonnet Blvd Baton Rouge LA 70810-6458 |
| Mailing Address |
361 Glenmore Ave Baton Rouge LA 70806-5217 |
| Practice Telephone | 2257694208 |
| Mailing Telephone | 9013556914 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PST.019271 | LA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUISIANA BOARD OF PHARMACY | PST091271 | 01 |
| LA | LOUISIANA BOARD OF PHARMACY | MA001133 | 01 |
| LA | WALGREENS | 1079256 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134409956 | Bryan Glen Prince | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2011-08-24 |
| Street Address |
9983 BLUEBONNET BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417963919 | Walgreen Co | Pharmacy | 9983 Bluebonnet Blvd, Baton Rouge, LA 70810-6458 | 2006-08-01 |
| 1649788415 | Paris Sangmi Lee | Pharmacist | 9983 Bluebonnet Blvd, Baton Rouge, LA 70810-6458 | 2018-01-16 |
| 1457874067 | Aksana Petrovna Tsisinevich | Pharmacist | 9983 Bluebonnet Blvd, Baton Rouge, LA 70810-6458 | 2017-07-25 |
| 1407132251 | My-ngoc Tran | Pharmacist | 9983 Bluebonnet Blvd, Baton Rouge, LA 70810-6458 | 2011-10-25 |
| 1982919742 | Morrisdeana M Charles | Pharmacist | 9983 Bluebonnet Blvd, Baton Rouge, LA 70810-6458 | 2010-08-17 |
| 1225343270 | Kruti Desai Lodhavia | Pharmacist | 9983 Bluebonnet Blvd, Baton Rouge, LA 70810-6458 | 2010-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| 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 |
|---|---|---|---|---|
| 1578185229 | Erin Hannah Morgan | Pharmacist | 17050 Medical Center Dr Fl 1, Baton Rouge, LA 70816-3221 | 2020-05-15 |
| 1336791458 | Kacie Marie Watson | Pharmacist | 100 Womans Way Ste Ssb1, Baton Rouge, LA 70817-5100 | 2019-07-09 |
| 1639610785 | Amy Douglass | Pharmacist | 9026 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2432 | 2017-03-09 |
| 1598209504 | Toni Davis Scott | Pharmacist | North Stadium Drive, Baton Rouge, LA 70808 | 2016-12-09 |
| 1538617097 | Loan Nguyen | Pharmacist | 1315 N Cicero Ave, Baton Rouge, LA 70816-1856 | 2016-09-14 |
| 1306200308 | Richard Bienvenu | Pharmacist | 6765 Corporate Blvd, Apt 9209, Baton Rouge, LA 70809-1061 | 2016-04-06 |
| 1114390127 | Anne Minh-anh Tran | Pharmacist | 1628 Campden Dr, Baton Rouge, LA 70810-3599 | 2015-11-12 |
| 1477920452 | Brittney Johnson | Pharmacist | 12629 E Robin Hood Dr, Baton Rouge, LA 70815-6639 | 2015-08-26 |
| 1578930566 | Cally Marie Newsom | Pharmacist | 5500 Perkins Rd Apt 3111, Baton Rouge, LA 70808-4105 | 2015-08-26 |
| 1760858955 | Lauren Mcneill | Pharmacist | 5555 Essen Ln Ste C, Baton Rouge, LA 70809-3566 | 2015-08-11 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.