RAVEN S JACKSON (NPI# 1285034553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285034553 |
Entity Type | Individual |
Full Name | RAVEN S JACKSON |
Credential | PHARMD |
Practice Address |
1111 Medical Center Blvd S 850 Marrero LA 70072-3151 |
Practice Telephone | 5043496450 |
Practice Fax Number | 5043496454 |
Mailing Telephone | 5043496450 |
Mailing Fax Number | 5043496454 |
Enumeration Date | 2014-08-24 |
Last Update Date | 2016-11-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PST.021789 | LA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 26025677A | IN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
1508167917 | Raven A Jackson | Physical Therapist | 19 Brinsley St, Dorchester, MA 02121-3607 | 2010-11-16 |
1942745823 | Raven Jackson | Counselor | 4951 Central Avenue, Monroe, LA 71203 | 2016-12-30 |
Street Address |
1111 MEDICAL CENTER BLVD S 850 |
City | MARRERO |
State | LA |
Zip Code | 70072-3151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
1457767717 | Elisabeth Lifsey-wood | Nurse Anesthetist, Certified Registered | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2014-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
Find all providers in zip 70072 |
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 |
---|---|---|---|---|
1225679566 | Michelle Ngoc Anh Tran | Pharmacist | 7417 Etude Dr, Marrero, LA 70072-5992 | 2019-10-07 |
1578063699 | Megan Marie Mckay | Pharmacist | 2 Briarfield Dr, Marrero, LA 70072-5063 | 2018-02-15 |
1194126672 | Michael Le Nhat Thien Vu | Pharmacist | 1644 Jutland Dr, Marrero, LA 70072-4331 | 2014-09-15 |
1629479100 | Jimmy Quach | Pharmacist | 2557 Crestwood Rd, Marrero, LA 70072-5704 | 2014-09-15 |
1275892408 | Son Kim | Pharmacist | 1250 Sinskey Dr, Marrero, LA 70072-5997 | 2012-05-08 |
1932414133 | Ngoc-phuong Thi Nguyen | Pharmacist | 4535 Westbank Expy, Marrero, LA 70072-3120 | 2010-08-11 |
1124332713 | Hong Tham Tran | Pharmacist | 4704 4th St, Marrero, LA 70072-1905 | 2010-08-06 |
1174845705 | Craig M Levet | Pharmacist | 1111 Medical Center Blvd Ste 116n, Marrero, LA 70072-3157 | 2010-02-23 |
1073759676 | Allan Gerard Lepine | Pharmacist | 5020 Middlebury St, Marrero, LA 70072-5528 | 2009-01-02 |
1265652630 | Rosheba Shanee Morgan | Pharmacist | 5969 Lapalco Blvd, Marrero, LA 70072-4833 | 2007-04-26 |
Find all providers in MARRERO |
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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.