MR. RANDY MIRE (NPI# 1275820516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275820516 |
| Entity Type | Individual |
| Full Name | MR. RANDY MIRE |
| Credential | PHARM. D. |
| Practice Address |
139 Central Ave Reserve LA 70084-6001 |
| Practice Telephone | 9855363957 |
| Practice Fax Number | 9855362231 |
| Mailing Telephone | 9855363957 |
| Mailing Fax Number | 9855362231 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18305 | LA | Pharmacy Service Providers |
| Street Address |
139 CENTRAL AVE |
| City | RESERVE |
| State | LA |
| Zip Code | 70084-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003841842 | Gem Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 139 Central Ave, Reserve, LA 70084 | 2006-07-11 |
| 1477019719 | Gem Drugs Inc | Pharmacy | 139 Central Ave, Reserve, LA 70084-6001 | 2019-02-12 |
| 1528444700 | Faith Webre | Pharmacist | 139 Central Ave, Reserve, LA 70084-6001 | 2015-08-10 |
| 1982959797 | Denis Hubert St. Pierre | Pharmacist | 139 Central Ave, Reserve, LA 70084-6001 | 2012-07-18 |
| 1609946128 | Gem Drugs Inc | Pharmacy | 139 Central Ave, Reserve, LA 70084-6001 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289831 | Patrice Edwards Robinson | Nurse Practitioner | 1 Wildcat Drive, Reserve, LA 70084 | 2018-06-21 |
| 1083148506 | Laotis Dee Dennis | Counselor | 579 Nw 2nd St, Reserve, LA 70084 | 2017-04-12 |
| 1659613032 | Varsha Jasti | Internal Medicine | St John Va Outpatient Clinic 4004 West Airline Hwy, Reserve, LA 70084 | 2013-03-22 |
| 1235264367 | Brett D Madere Dds Apc | Dentist | 190 Central Avenue Reserve La, Reserve, LA 70084 | 2007-02-22 |
| 1932645231 | Velissa Frank | Counselor | 279 Chad B Baker St, Reserve, LA 70084-5016 | 2017-01-10 |
| 1235774282 | Terri Millet | Non-emergency Medical Transport (VAN) | 365 E 22nd St, Reserve, LA 70084-5210 | 2019-11-14 |
| 1689170136 | Greater Living Care Center | Home Health | 395 E 22nd St, Reserve, LA 70084-5210 | 2018-04-03 |
| 1174918783 | Usa Pharmacy & Medical Supplies | Pharmacy | 1170 Highway 44, Reserve, LA 70084-5343 | 2015-03-31 |
| 1558811216 | Elizabeth Rousseve | Nurse Practitioner | 471 Central Ave, Reserve, LA 70084-5509 | 2016-10-06 |
| 1053666909 | Roxanne Campbell | Dietitian, Registered | 473 Central Ave, Reserve, LA 70084-5509 | 2012-07-17 |
| Find all providers in zip 70084 | ||||
| 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 |
|---|---|---|---|---|
| 1528444700 | Faith Webre | Pharmacist | 139 Central Ave, Reserve, LA 70084-6001 | 2015-08-10 |
| 1982959797 | Denis Hubert St. Pierre | Pharmacist | 139 Central Ave, Reserve, LA 70084-6001 | 2012-07-18 |
| 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 | ||||
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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.