LOUISIANA STATE UNIVERSITY (NPI# 1225512767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225512767 |
| Entity Type | Organization |
| Organization Name | LOUISIANA STATE UNIVERSITY |
| Practice Address |
1 North Stadium Drive Broussard Center for Athletic Training Baton Rouge LA 70803 |
| Practice Telephone | 2255780681 |
| Practice Fax Number | 2255783924 |
| Mailing Telephone | 2255780681 |
| Mailing Fax Number | 2255783924 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | TONI D SCOTT (PHARMACIST-IN-CHARGE) |
| Authorized Official Telephone | 2254853444 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUISIANA STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| LSU Athletic Department Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528395621 | Louisiana State University | Rehabilitation Unit | 5213 Citrus Blvd Apt S335, River Ridge, LA 70123-7229 | 2009-11-10 |
| 1922566934 | Louisiana State University | Clinic/Center | 6400 Perkins Rd, Baton Rouge, LA 70808-0102 | 2019-03-08 |
| 1326595968 | Louisiana State University | General Acute Care Hospital | 2000 Canal Street, New Orleans, LA 70112-3018 | 2016-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOUISIANA STATE UNIVERSITY | 3810 W Lakeshore Dr Ste 111, Baton Rouge, LA 70808-4600 |
| System for Award Management (SAM) Entities | LOUISIANA STATE UNIVERSITY A&M | 202 Himes Hall, Baton Rouge, LA 70803-0001 |
| System for Award Management (SAM) Entities | LOUISIANA STATE UNIVERSITY OF ALEXANDRIA | 8100 Hwy 71 S, Alexandria, LA 71302-9119 |
| Street Address |
1 NORTH STADIUM DRIVE BROUSSARD CENTER FOR ATHLETIC TRAINING |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380895 | Jeremy Michael Plante | Specialist/Technologist | 1 North Stadium Drive, Lsu Athletic Training, Baton Rouge, LA 70802 | 2019-11-08 |
| 1710535448 | Jasmin Sinclair Monroe | Student in an Organized Health Care Education/Training Program | 1 North Stadium Drive, Baton Rouge, LA 70803-0001 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649822164 | Joshua Vaughn Bunch | Specialist/Technologist | Lsu Athletic Department, Athletic Training, North Stadium Drive, Baton Rouge, LA 70803 | 2019-07-15 |
| 1447652433 | Joshua Pratt | Specialist/Technologist | Lsu Athletic Training, Athletic Administration Building, Baton Rouge, LA 70803 | 2014-09-22 |
| 1851709216 | Derek Calvert | Specialist/Technologist | Lsu Athletic Administration Building, Athletic Training Room, Baton Rouge, LA 70803 | 2014-07-30 |
| 1770924599 | Malena Badon | Clinical Medical Laboratory | 340 East Parker Street, Baton Rouge, LA 70803 | 2013-07-09 |
| 1649394057 | Cheryl Larrieu Bourg | Pharmacist | Lsu Student Health Center Pharmacy, Infirmary Road, Lsu, Baton Rouge, LA 70803 | 2007-03-19 |
| 1548369465 | Louisiana State Univ Students Health Ctr | Pharmacist | Infirmary Road, Room 172 Pharmacy, Baton Rouge, LA 70803 | 2006-09-21 |
| 1912937145 | Louisiana Emergency & Trauma Specialists | Emergency Medicine | 3600 Florida Blvd, Baton Rouge, LA 70803 | 2006-07-04 |
| 1295373025 | Jacqueline Casey Crouch | Student in an Organized Health Care Education/Training Program | North Stadium Drive Athletics Administration Building, Baton Rouge, LA 70803-0001 | 2019-12-11 |
| 1013552512 | Kelly Stephens | Specialist/Technologist | 1 North Stadium Dr, Baton Rouge, LA 70803-0001 | 2019-11-08 |
| 1962062729 | Maria Berthiaume | Physical Medicine & Rehabilitation | Lsu Broussard Center for Athletic Training, Baton Rouge, LA 70803-0001 | 2019-06-14 |
| Find all providers in zip 70803 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1518590769 | La Farmacis, LLC | Pharmacy | 9301 Burbank Dr, Baton Rouge, LA 70820-8604 | 2020-02-17 |
| 1427695618 | Texas Digestive Disease Consultants, Pllc | Pharmacy | 9103 Jefferson Hwy Ste 200, Baton Rouge, LA 70809-2440 | 2019-12-06 |
| 1912552167 | Healthlogic Family Pharmacy LLC | Pharmacy | 12351 Industriplex Blvd Ste 1, Baton Rouge, LA 70809-5125 | 2019-08-05 |
| 1720545171 | Ptg2, LLC | Pharmacy | 6251 Perkins Rd Ste C, Baton Rouge, LA 70808-4167 | 2019-02-21 |
| 1548734874 | Apothecare Pharmacy Baton Rouge | Pharmacy | 2370 Towne Center Blvd Ste 103, Baton Rouge, LA 70806-8172 | 2019-01-21 |
| 1356878839 | Healthlogic Pharmacy Solutions 2 LLC | Pharmacy | 11441 Industriplex Blvd Ste 150, Baton Rouge, LA 70809-4299 | 2017-05-16 |
| 1245777366 | Red Stick Pharmacy LLC | Pharmacy | 18181 Jefferson Hwy Ste 101, Baton Rouge, LA 70817-7424 | 2017-01-26 |
| 1649716994 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 16777 Medical Center Dr Ste 103, Baton Rouge, LA 70816-3254 | 2017-01-10 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70803 |
Please comment or provide details below to improve the information on LOUISIANA STATE UNIVERSITY.
| 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.