MRS. JAYNE WALLACE DISHMAN (NPI# 1174516272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174516272 |
| Entity Type | Individual |
| Full Name | MRS. JAYNE WALLACE DISHMAN |
| Credential | RPH |
| Practice Address |
308 N Lewis St New Iberia LA 70563-2843 |
| Mailing Address |
607 Oak Manor Dr New Iberia LA 70563-2223 |
| Practice Telephone | 3373647671 |
| Practice Fax Number | 3373650563 |
| Mailing Telephone | 3373699783 |
| Mailing Fax Number | 3373650563 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15565 | LA | Pharmacy Service Providers |
| Street Address |
308 N LEWIS ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716354 | Brittany Herpin | Pharmacist | 308 N Lewis St, New Iberia, LA 70563-2843 | 2020-09-29 |
| 1447870043 | New Iberia Medicine Shoppe Inc | Pharmacy | 308 N Lewis St, New Iberia, LA 70563-2843 | 2020-04-23 |
| 1699136176 | New Iberia Medicine Shoppe Inc | Durable Medical Equipment & Medical Supplies | 308 N Lewis St, New Iberia, LA 70563-2843 | 2016-03-11 |
| 1518263979 | New Iberia Rx Inc | Pharmacy | 308 N Lewis St, New Iberia, LA 70563-2843 | 2011-02-02 |
| 1477546661 | Austin Edwin Whipp Jr. | Pharmacist | 308 N Lewis St, New Iberia, LA 70563-2843 | 2005-08-24 |
| 1528051737 | William Mitchell Gilfoil | Pharmacist | 308 N Lewis St, New Iberia, LA 70563-2843 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| 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 |
|---|---|---|---|---|
| 1326609405 | Xuan Pham | Pharmacist | 807 Jefferson Ter, New Iberia, LA 70560-5726 | 2019-06-27 |
| 1053712760 | Sidney Champagne | Pharmacist | 106 Candleglow Dr, New Iberia, LA 70563-0912 | 2014-09-12 |
| 1255732814 | Gary Adams Jr. | Pharmacist | 900 E Admiral Doyle Dr, New Iberia, LA 70560-6709 | 2014-09-12 |
| 1457633372 | Courtney Renee Chavis | Pharmacist | 820g E Admiral Doyle Dr, New Iberia, LA 70560-6747 | 2011-09-16 |
| 1447559521 | Lan P Vo | Pharmacist | 1108 E Main St, New Iberia, LA 70560-3920 | 2011-03-15 |
| 1760780902 | Terrell Edler | Pharmacist | 1150 W Saint Peter St, New Iberia, LA 70560-3558 | 2011-03-12 |
| 1871688424 | Paul Dinkey Leblanc Jr. | Pharmacist | 1104 E. Main Street, New Iberia, LA 70560 | 2006-10-03 |
| 1073515722 | Philip C Aucoin | Pharmacist | 1104 East Main St, New Iberia, LA 70560 | 2005-08-12 |
| 1316945462 | Ronald A Geoffroy II | Pharmacist | 805 Center St, New Iberia, LA 70560-5505 | 2005-07-12 |
| 1932716354 | Brittany Herpin | Pharmacist | 308 N Lewis St, New Iberia, LA 70563-2843 | 2020-09-29 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
Please comment or provide details below to improve the information on MRS. JAYNE WALLACE DISHMAN.
| 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.