DR. MARK KWAME OSEBRE (NPI# 1265930457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265930457 |
| Entity Type | Individual |
| Full Name | DR. MARK KWAME OSEBRE |
| Credential | PHARMACIST |
| Practice Address |
120 Us-171 Moss Bluff LA 70611 |
| Mailing Address |
807 Walters St Apt 21 Lake Charles LA 70607-4643 |
| Practice Telephone | 3378554848 |
| Mailing Telephone | 9737386762 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 048347 | LA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUISIAN BOARD OF PHARMACY | 048347 | 01 |
| Street Address |
120 US-171 |
| City | MOSS BLUFF |
| State | LA |
| Zip Code | 70611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| 1518043595 | Lori H. Gober | Dentist | 340 N. Hwy 171, Suite A, Lake Charles, LA 70611 | 2006-10-31 |
| Find all providers in zip 70611 | ||||
| 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 |
|---|---|---|---|---|
| 1518577279 | Kiana Duncan | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2020-08-06 |
| 1053812347 | Sanghoon Han | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2018-02-22 |
| 1366994493 | Kara Vantaggi | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2016-10-24 |
| 1922484435 | Elisabeth Conley | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2015-08-06 |
| 1134511637 | Larry Collins Jr. | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2015-02-21 |
| 1891031142 | Shionka S Patterson | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2012-12-13 |
| 1346521812 | Sinh Pham | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2011-08-29 |
| 1598070526 | Megan Manuel | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2010-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729734 | Devin K Richardson | Pharmacist | 113 Sam Dr, West Monroe, LA 71291-6978 | 2020-11-01 |
| 1194324830 | Shane A Tatman | Pharmacist | 216 Christie Lea Dr, Opelousas, LA 70570-6804 | 2020-10-23 |
| 1306443932 | Nancy Odom | Pharmacist | 814 Fortune Rd, Youngsville, LA 70592-5542 | 2020-10-06 |
| 1982211397 | Bradford Louis Morgan | Pharmacist | 9084 Ferry Creek Dr, Shreveport, LA 71106-8404 | 2020-09-29 |
| 1174139208 | Lauren Leblanc | Pharmacist | 2825 Grand Point Hwy Lot 9, Breaux Bridge, LA 70517-6972 | 2020-09-23 |
| 1306453451 | Benjamin Allbritton | Pharmacist | 1333 Coates Bluff Dr Apt 1324, Shreveport, LA 71104-2823 | 2020-09-23 |
| 1720693203 | Thu Nguyen Hoai Dinh | Pharmacist | 3636 Connecticut Ave, Kenner, LA 70065-3429 | 2020-09-11 |
| 1518571702 | Kiersten Rapp | Pharmacist | 1155 Magnolia Heights St, Vacherie, LA 70090-5504 | 2020-09-04 |
| 1376156711 | Brandy Gallow | Pharmacist | 17122 Airline Highway, Prairieville, LA 70769-3402 | 2020-08-25 |
| 1598376881 | Jessica Thiac Aucoin | Pharmacist | 16759 La-3235, Galliano, LA 70345 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | MOSS BLUFF |
| Zip Code | 70611 |
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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.