MISS PHUONG MY DAO (NPI# 1235597667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235597667 |
| Entity Type | Individual |
| Full Name | MISS PHUONG MY DAO |
| Practice Address |
13500 Highway 90 Boutte LA 70039-3500 |
| Practice Telephone | 9853311866 |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PST.021389 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124223755 | Phuong Thi Dao | Dentist | 910 Broadway, 1, Everett, MA 02149-3126 | 2007-06-14 |
| 1821564253 | Phuong Dao | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2018-10-24 |
| 1073750691 | Phuong Billie Dao | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2009-01-20 |
| Street Address |
13500 HIGHWAY 90 |
| City | BOUTTE |
| State | LA |
| Zip Code | 70039-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780699967 | Walgreen Co | Pharmacy | 13500 Highway 90, Boutte, LA 70039-3500 | 2006-07-29 |
| 1497399984 | Jordan Ashley Samaha | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2019-10-29 |
| 1992100606 | Selena Nguyen | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2014-10-24 |
| 1932503885 | Chalyn Tropez Joshua | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2014-10-20 |
| 1487991048 | Larry Hasten | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2013-01-15 |
| 1124379193 | Ladadriel Eastman | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2012-09-30 |
| 1598016826 | Walgreens | Pharmacy | 13500 Highway 90, Boutte, LA 70039-3500 | 2012-09-26 |
| 1164738423 | Michelle Yvette Revader Dunmiles | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2010-08-25 |
| 1659687317 | Clarence Mitchell | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2010-08-19 |
| 1750696621 | Michael Thomas Simmons | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630841 | Lets Ride Transport LLC | Non-emergency Medical Transport (VAN) | 378 South Kinler St, Boutte, LA 70039 | 2019-07-09 |
| 1225691215 | Tiffany Dee | Non-emergency Medical Transport (VAN) | 378 S Kinler, Boutte, LA 70039 | 2019-04-16 |
| 1275034761 | Kanisha Paul | Counselor | 426 South Kinler Street, Boutte, LA 70039 | 2018-02-21 |
| 1699284562 | Mariama Cook Sandifer | Counselor | 333 River Ridge Dr., Boutte, LA 70039 | 2017-09-23 |
| 1073880761 | Katie Marie Roussell | Speech-Language Pathologist | 610 Magnolia Ridge Road, Boutte, LA 70039 | 2011-11-23 |
| 1699090365 | Boutte Dental Associates, LLC | Clinic/Center | 14243 Us Highway 190, Boutte, LA 70039 | 2010-04-06 |
| 1023252004 | Aalpha Resources, LLC | Day Training, Developmentally Disabled Services | 13322 Highway 90, Suite K, Boutte, LA 70039 | 2009-04-22 |
| 1093988164 | A Small World In The River Region, Inc. | Day Training, Developmentally Disabled Services | 13174 Us Highway 90, Boutte, LA 70039 | 2008-04-09 |
| 1922277441 | A Small World In The River Region, Inc. | Day Training, Developmentally Disabled Services | 13174 Highway 90, Boutte, LA 70039 | 2008-02-28 |
| 1053460717 | Peter L. Glaser | Dentist | 13270 Highway 90, Boutte, LA 70039 | 2007-01-10 |
| Find all providers in zip 70039 | ||||
| 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 |
|---|---|---|---|---|
| 1508479692 | Virginia Baudoin | Pharmacist | 13001 Highway 90, Boutte, LA 70039-3051 | 2020-08-28 |
| 1497399984 | Jordan Ashley Samaha | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2019-10-29 |
| 1164941142 | Richard Bostanian | Pharmacist | 13001 Highway 90, Boutte, LA 70039-3051 | 2017-09-11 |
| 1992100606 | Selena Nguyen | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2014-10-24 |
| 1932503885 | Chalyn Tropez Joshua | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2014-10-20 |
| 1619376522 | Chi Tran | Pharmacist | 13001 Highway 90, Boutte, LA 70039-3051 | 2014-08-15 |
| 1427457407 | Diana Giang | Pharmacist | 13001 Highway 90, Boutte, LA 70039-3051 | 2014-08-15 |
| 1487991048 | Larry Hasten | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2013-01-15 |
| 1124379193 | Ladadriel Eastman | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2012-09-30 |
| 1164738423 | Michelle Yvette Revader Dunmiles | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2010-08-25 |
| Find all providers in BOUTTE | ||||
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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.