POOLE DERMATOLOGY, APMC (NPI# 1457803421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457803421 |
| Entity Type | Organization |
| Organization Name | POOLE DERMATOLOGY, APMC |
| Other Organization Name | GULF SOUTH PHARMACY |
| Practice Address |
111 Veterans Memorial Blvd Ste 406a Metairie LA 70005-3028 |
| Mailing Address |
1620 W Northwest Hwy Suite 100 Grapevine TX 76051-3177 |
| Practice Telephone | 5048388290 |
| Practice Fax Number | 5048388233 |
| Mailing Telephone | 8175720009 |
| Mailing Fax Number | 8177201039 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | TAMMIE MISKIMINS (MANAGER, LICENSING) |
| Authorized Official Telephone | 8175720009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.007385 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2165806 | 01 |
| Other Name | Type Code |
|---|---|
| Gulf South Pharmacy | Doing Business As Name - Organization |
| Street Address |
111 VETERANS MEMORIAL BLVD STE 406A |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793581 | Amber Alia Trepagnier | Counselor | 701 Papworth Ave Ste 209, Metairie, LA 70005 | 2017-04-06 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1952731705 | Doctors Dental 06, LLC | Clinic/Center | 730 Veterans Blvd Suite B, Metairie, LA 70005 | 2013-11-14 |
| 1740613827 | Lawrence Garvey Bole | Internal Medicine | 400 Rue St Ann, Unit 214, Metairie, LA 70005 | 2013-08-13 |
| 1295172880 | Shirer Counseling Services | Counselor | 707 Papworth Ave., Ste. 202, Metairie, LA 70005 | 2013-05-23 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1780987909 | Kenneth Mcleod Jr. | Internal Medicine | 351 Elmeer Ave, Metairie, LA 70005 | 2010-12-09 |
| 1972804615 | Courtney Theriot Scala | Counselor | 1312 Aris Ave, Metairie, LA 70005 | 2010-11-11 |
| 1528378031 | Robert Fleming Azar | Ophthalmology | 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 | 2010-10-18 |
| 1881909042 | Fidelity Behavioral Health Services, LLC | Community/Behavioral Health | 700 Papworth Ave, Metairie, LA 70005 | 2010-08-12 |
| Find all providers in zip 70005 | ||||
| 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 |
|---|---|---|---|---|
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| 1619481066 | Clearview Drugs LLC | Pharmacy | 2000 Clearview Pkwy Ste 103, Metairie, LA 70001-2438 | 2017-11-21 |
| 1750751764 | B&b Drugs Inc | Pharmacy | 612 Veterans Blvd, Metairie, LA 70005-2937 | 2015-10-02 |
| 1083084057 | C & S Family Pharmacy | Pharmacy | 1300 Veterans Memorial Blvd, Metairie, LA 70005-2733 | 2015-10-02 |
| 1174627012 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 4950 W Esplanade Ave, Metairie, LA 70006-2670 | 2006-09-12 |
| 1417962697 | Walgreen Co | Pharmacy | 909 David Dr, Metairie, LA 70003-5134 | 2006-07-29 |
| 1134134398 | Walgreen Co | Pharmacy | 1503 Metairie Rd, Metairie, LA 70005-3938 | 2006-07-29 |
| 1326053505 | Walgreen Co | Pharmacy | 4545 W Esplanade Ave, Metairie, LA 70006-2800 | 2006-07-29 |
| 1518980895 | Louisiana Cvs Pharmacy LLC | Pharmacy | 4500 Veterans Memorial Blvd, Metairie, LA 70006-5330 | 2006-07-26 |
| 1073534368 | Winn Dixie Stores Inc | Pharmacy | 211 Veterans Memorial Blvd, Metairie, LA 70005-3005 | 2006-07-21 |
| Find all providers in METAIRIE | ||||
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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.